NATHAN WEIFENG KONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073560

License Status

CANCELLED

Business

Title

First Name

NATHAN

Middle

WEIFENG

Last Name

KONG

Business Name

NATHAN WEIFENG KONG MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/19/2019