SIANG KING OMBABA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056059

License Status

CANCELLED

Business

Title

First Name

SIANG

Middle

KING

Last Name

OMBABA

Business Name

SIANG KING OMBABA MD

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

06/15/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/14/2009