CONG RAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067772

License Status

EXPIRED

Business

Title

First Name

CONG

Last Name

RAN

Business Name

CONG RAN MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

11/19/2020