MICHAEL SHIFENG GONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077748

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

SHIFENG

Last Name

GONG

Business Name

MICHAEL SHIFENG GONG MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024