STEPHANIE ERIN WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

ERIN

Last Name

WONG

Business Name

STEPHANIE ERIN WONG MD

Original Issue Date

05/30/2019

Effective Date

05/30/2019

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

94506

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

01/14/2021