MICAH GRACE HONG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067454

License Status

CANCELLED

Business

Title

First Name

MICAH

Middle

GRACE

Last Name

HONG

Business Name

MICAH GRACE HONG DO

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/29/2015