HAO KENITH FANG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026529

License Status

EXPIRED

Business

First Name

HAO KENITH

Last Name

FANG

Business Name

HAO KENITH FANG

Original Issue Date

05/09/1991

Effective Date

05/09/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006