GISELLA SARITA WONG NANO MD - Medical Doctor License in Minnesota | # 33*****43

GISELLA SARITA WONG NANO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

N

Title

MD

First Name

GISELLA

Middle

SARITA

Last Name

WONG NANO

Business Name

GISELLA SARITA WONG NANO MD

Original Issue Date

07/06/2012

Effective Date

07/06/2012

Expiration Date

07/31/2014

State

MN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/17/2014