THEODORE WANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079516

License Status

ACTIVE

Business

First Name

THEODORE

Last Name

WANG

Suffix

Business Name

THEODORE WANG MD

Original Issue Date

11/04/1989

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

06/01/2023