EUGENE G FONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

EUGENE G

Last Name

FONG

Suffix

Business Name

EUGENE G FONG MD

Original Issue Date

08/26/1981

Effective Date

08/26/1981

Expiration Date

07/31/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006