HENRY K M BONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058425

License Status

NOT RENEWED

Business

First Name

HENRY K M

Last Name

BONG

Suffix

Business Name

HENRY K M BONG MD

Original Issue Date

03/16/1979

Effective Date

03/16/1979

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006