JEFF V WONGSKHALUANG Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056312

License Status

CANCELLED

Business

First Name

JEFF

Middle

Last Name

WONGSKHALUANG

Business Name

JEFF V WONGSKHALUANG

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

04/16/2010