ANNA WAN SUM KONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035345

License Status

EXPIRED

Business

First Name

ANNA WAN

Middle

SUM

Last Name

KONG

Suffix

Business Name

ANNA WAN SUM KONG MD

Original Issue Date

07/09/1996

Effective Date

07/09/1996

Expiration Date

07/07/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006