JIM JIANTAO HONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

First Name

JIM

Middle

JIANTAO

Last Name

HONG

Suffix

Business Name

JIM JIANTAO HONG MD

Original Issue Date

11/04/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023