JACKSON WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119695

License Status

NOT RENEWED

Business

First Name

JACKSON

Last Name

WONG

Suffix

Business Name

JACKSON WONG MD

Original Issue Date

11/14/2007

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

WEST PALM BEACH

State

Zip

33411

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/01/2017