DARRELL W WONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097527

License Status

INACTIVE

Business

First Name

DARRELL

Middle

Last Name

WONG

Suffix

Business Name

DARRELL W WONG MD

Original Issue Date

03/20/1998

Effective Date

03/20/1998

Expiration Date

07/31/2002

City

PHOENIX

State

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006