FREDERICK WANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

FREDERICK

Last Name

WANG

Business Name

FREDERICK WANG MD

Original Issue Date

08/26/2019

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

WOODLAND HILLS

State

Zip

91367

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023