SHINTA JONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

SHINTA

Last Name

JONG

Suffix

Business Name

SHINTA JONG MD

Original Issue Date

01/07/2009

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHERRY VALLEY

State

Zip

61016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023