BERDINE TY CHONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050712

License Status

EXPIRED

Business

First Name

BERDINE

Middle

Last Name

CHONG

Suffix

Business Name

BERDINE TY CHONG MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/15/2009