MICHAEL DAVID WONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051958

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

WONG

Suffix

Business Name

MICHAEL DAVID WONG MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

06/25/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009