NICOLE TONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000808

License Status

EXPIRED

Business

First Name

NICOLE

Last Name

TONG

Business Name

NICOLE TONG

Original Issue Date

09/01/2009

Effective Date

09/01/2009

Expiration Date

02/28/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

03/08/2010