PHUNG KIM LUONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085371

License Status

INACTIVE

Business

First Name

PHUNG KIM

Last Name

LUONG

Suffix

Business Name

PHUNG KIM LUONG MD

Original Issue Date

09/17/1992

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

OKLAHOMA CITY

State

Zip

73120

Ever Disciplined

LastModifiedDate

04/08/2014