STANLEY SHIAO-FONG WU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044642

License Status

EXPIRED

Business

First Name

STANLEY

Middle

SHIAO-FONG

Last Name

Suffix

Business Name

STANLEY SHIAO-FONG WU MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006