BERNARD OKEM OGON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050419

License Status

CANCELLED

Business

First Name

BERNARD

Middle

OKEM

Last Name

OGON

Suffix

Business Name

BERNARD OKEM OGON MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/08/2008