ALFONSO Y WONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044969

License Status

INACTIVE

Business

First Name

ALFONSO Y

Last Name

WONG

Suffix

Business Name

ALFONSO Y WONG MD

Original Issue Date

10/08/1971

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/17/2008