WILLIE A NG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076755

License Status

INACTIVE

Business

First Name

WILLIE A

Last Name

Suffix

Business Name

WILLIE A NG MD

Original Issue Date

03/05/1988

Effective Date

03/05/1988

Expiration Date

07/31/1990

City

CINCINNATI

State

Zip

45230

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006