BRUCE KIRIN FONG DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116350

License Status

INACTIVE

Business

First Name

BRUCE

Middle

KIRIN

Last Name

FONG

Suffix

Business Name

BRUCE KIRIN FONG DO

Original Issue Date

06/29/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

RENO

State

Zip

89509

Ever Disciplined

LastModifiedDate

04/17/2008