MARIA CHIEN-WEN JONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

MARIA CHIEN-WEN

Last Name

JONG

Suffix

Business Name

MARIA CHIEN-WEN JONG MD

Original Issue Date

11/22/1996

Effective Date

11/22/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006