FLAVIANO S ONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046685

License Status

INACTIVE

Business

First Name

FLAVIANO S

Last Name

ONG

Suffix

Business Name

FLAVIANO S ONG MD

Original Issue Date

12/13/1972

Effective Date

12/13/1972

Expiration Date

07/31/1987

City

PHILADELPHIA

State

Zip

19153

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006