XI WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047128

License Status

NOT RENEWED

Business

First Name

Last Name

WANG

Suffix

Business Name

XI WANG MD

Original Issue Date

10/31/2003

Effective Date

10/31/2003

Expiration Date

10/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

11/03/2006