JULIA FONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027958

License Status

EXPIRED

Business

First Name

JULIA

Last Name

FONG

Business Name

JULIA FONG

Original Issue Date

05/06/1992

Effective Date

05/06/1992

Expiration Date

06/21/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006