JIM Y WANG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098824

License Status

NOT RENEWED

Business

First Name

JIM

Middle

Last Name

WANG

Suffix

Business Name

JIM Y WANG DO

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2005006722

Action

Refuse To Renew

Discipline Start Date

12/28/2005

Discipline Reason

Sister-state discipline.