JIM JIANTAO HONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047051

License Status

EXPIRED

Business

First Name

JIM

Middle

JIANTAO

Last Name

HONG

Suffix

Business Name

JIM JIANTAO HONG MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/08/2006

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006