KIT DUONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113054

License Status

NOT RENEWED

Business

First Name

KIT

Last Name

DUONG

Business Name

KIT DUONG

Original Issue Date

02/09/2005

Effective Date

02/09/2005

Expiration Date

07/31/2005

City

PORTAGE

State

Zip

53901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006