KAREN JEAN FONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

CANCELLED

Business

First Name

KAREN JEAN

Last Name

FONG

Suffix

Business Name

KAREN JEAN FONG MD

Original Issue Date

03/10/1997

Effective Date

03/10/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006