ELISA MARIE CRYSTAL WANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146202

License Status

ACTIVE

Business

Title

First Name

ELISA

Middle

MARIE CRYSTAL

Last Name

WANG

Business Name

ELISA MARIE CRYSTAL WANG MD

Original Issue Date

05/17/2018

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2023