HUMPHREY WONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093604

License Status

ACTIVE

Business

First Name

HUMPHREY

Last Name

WONG

Suffix

Business Name

HUMPHREY WONG MD

Original Issue Date

07/16/1996

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

08/01/2023