ANNA LIZA ONG CO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048789

License Status

EXPIRED

Business

First Name

ANNA LIZA

Middle

ONG

Last Name

Suffix

Business Name

ANNA LIZA ONG CO MD

Original Issue Date

08/12/2004

Effective Date

08/12/2004

Expiration Date

08/11/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Interventional Neuroradiology

Ever Disciplined

LastModifiedDate

09/22/2006