LAWRENCE C WANG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104660

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

WANG

Business Name

LAWRENCE C WANG

Original Issue Date

05/10/2001

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/01/2023