SIE KIEM ONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

SIE KIEM

Last Name

ONG

Suffix

Business Name

SIE KIEM ONG MD

Original Issue Date

09/30/1981

Effective Date

09/30/1981

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006