BRIAN TONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074755

License Status

CANCELLED

Business

Title

First Name

BRIAN

Last Name

TONG

Business Name

BRIAN TONG MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

URBANA

State

Zip

61801

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/07/2019