AMY WANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044894

License Status

CANCELLED

Business

First Name

AMY

Last Name

WANG

Suffix

Business Name

AMY WANG MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

08/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006