DENNIS A WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105294

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

Last Name

WONG

Suffix

Business Name

DENNIS A WONG MD

Original Issue Date

07/26/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SOUTH SAN FRANCISCO

State

Zip

94080

Ever Disciplined

LastModifiedDate

11/06/2008