FEI FEI GONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075272

License Status

EXPIRED

Business

Title

First Name

FEI

Middle

FEI

Last Name

GONG

Business Name

FEI FEI GONG MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced Cardiovascular Imaging

Ever Disciplined

LastModifiedDate

10/11/2022