SHASHANNA NDONG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****60

NOT RENEWED

N

MD

SHASHANNA

NDONG

SHASHANNA NDONG MD

06/05/2013

06/05/2014

07/31/2017

EVANSTON

IL

60201

COOK

PRACTITIONER

II III IV V

N

11/01/2017