DEREK J WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079106

License Status

NOT RENEWED

Business

First Name

DEREK J

Last Name

WONG

Suffix

Business Name

DEREK J WONG MD

Original Issue Date

06/27/1989

Effective Date

06/27/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006