YIRAN GONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073117

License Status

EXPIRED

Business

Title

First Name

YIRAN

Last Name

GONG

Business Name

YIRAN GONG MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022