GRACE WANG DUARTE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110179

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

WANG

Last Name

DUARTE

Suffix

Business Name

GRACE WANG DUARTE DO

Original Issue Date

09/24/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008