LARRY TIM WONG DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107844

License Status

INACTIVE

Business

First Name

LARRY

Middle

TIM

Last Name

WONG

Suffix

Business Name

LARRY TIM WONG DO

Original Issue Date

09/16/2002

Effective Date

09/16/2002

Expiration Date

07/31/2005

City

PANAMA CITY

State

Zip

32405

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006