JACK S WU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114930

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

Suffix

Business Name

JACK S WU MD

Original Issue Date

11/29/2005

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/01/2023