INYANG ANI ISONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

CANCELLED

Business

First Name

INYANG ANI

Last Name

ISONG

Suffix

Business Name

INYANG ANI ISONG MD

Original Issue Date

09/19/1996

Effective Date

09/19/1996

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008