CHRISTOPHER BRIAN GONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

BRIAN

Last Name

GONG

Business Name

CHRISTOPHER BRIAN GONG

Original Issue Date

08/01/2001

Effective Date

08/01/2001

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/07/2011