KAREN JEAN FONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094803

License Status

INACTIVE

Business

First Name

KAREN JEAN

Last Name

FONG

Suffix

Business Name

KAREN JEAN FONG MD

Original Issue Date

02/15/1997

Effective Date

02/15/1997

Expiration Date

07/31/2002

City

PORTLAND

State

Zip

97201

County

OREGON

Ever Disciplined

LastModifiedDate

10/09/2006