KANGNI ZONG-GROB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059706

License Status

CANCELLED

Business

Title

First Name

KANGNI

Last Name

ZONG-GROB

Business Name

KANGNI ZONG-GROB MD

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2014

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2011