TERRY HANK WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101912

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

HANK

Last Name

WONG

Suffix

Business Name

TERRY HANK WONG MD

Original Issue Date

02/03/2000

Effective Date

02/03/2000

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006