ALICE LEE WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046209

License Status

NOT RENEWED

Business

First Name

ALICE LEE

Last Name

WONG

Suffix

Business Name

ALICE LEE WONG MD

Original Issue Date

08/18/1972

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014