YUAN YUAN GONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067182

License Status

EXPIRED

Business

Title

First Name

YUAN YUAN

Last Name

GONG

Business Name

YUAN YUAN GONG MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/02/2019