LAURA T JONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

LAURA T

Last Name

JONG

Suffix

Business Name

LAURA T JONG MD

Original Issue Date

02/07/1996

Effective Date

02/07/1996

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006