License holder summary

THEODORE C FONG is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for THEODORE C FONG is MADISON IN 47250. This medical practitioner license is not current. The license was granted 09/20/1923 and expired on 12/31/1972.

Department of State

Board of Medicine

THEODORE C FONG
Medical Physician And Surgeon
License number
MD010839L
Date granted
09/20/1923
Date expires
12/31/1972
Class
Medical Physician And Surgeon
Status
Inactive
Address
MADISON IN 47250
medicinepa.com
ID 37607809
LAST UPDATED 2024-05-07 05:36:31 UTC

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