JACK KY WANG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108395

License Status

ACTIVE

Business

First Name

JACK KY

Last Name

WANG

Business Name

JACK KY WANG

Original Issue Date

01/06/2003

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/22/2023