CHAO GONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051562

License Status

CANCELLED

Business

First Name

CHAO

Last Name

GONG

Suffix

Business Name

CHAO GONG MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006