SHINTA JONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051634

License Status

EXPIRED

Business

First Name

SHINTA

Last Name

JONG

Suffix

Business Name

SHINTA JONG MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHERRY VALLEY

State

Zip

61016

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009