KAP SUM FOONG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****30

NOT RENEWED

N

MD

KAP SUM

FOONG

KAP SUM FOONG MD

02/07/2019

07/13/2020

07/31/2023

PEORIA

IL

61637

PEORIA

PRACTITIONER

II III IV V

N

11/30/2023