KANGNI ZONG-GROB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

KANGNI

Last Name

ZONG-GROB

Business Name

KANGNI ZONG-GROB MD

Original Issue Date

08/22/2013

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020