AMY ELLEN WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125064

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELLEN

Last Name

WONG

Suffix

Business Name

AMY ELLEN WONG MD

Original Issue Date

03/01/2010

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014