IDA W WANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025673

License Status

EXPIRED

Business

First Name

IDA W

Last Name

WANG

Suffix

Business Name

IDA W WANG MD

Original Issue Date

06/21/1990

Effective Date

06/21/1990

Expiration Date

06/22/1993

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006