JENNIFER HUANG GONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048955

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

HUANG

Last Name

GONG

Business Name

JENNIFER HUANG GONG MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008