NICHOLAS WEI WEN CHOONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047151

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

WEI WEN

Last Name

CHOONG

Suffix

Business Name

NICHOLAS WEI WEN CHOONG MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

LastModifiedDate

09/22/2006