ANITA L ONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030335

License Status

EXPIRED

Business

First Name

ANITA L

Last Name

ONG

Business Name

ANITA L ONG

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006