KENNETH H GONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037591

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

GONG

Suffix

Business Name

KENNETH H GONG MD

Original Issue Date

05/11/1998

Effective Date

05/11/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006