MARK CHUAN-SHIH WANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055907

License Status

CANCELLED

Business

Title

First Name

MARK

Middle

CHUAN-SHIH

Last Name

WANG

Business Name

MARK CHUAN-SHIH WANG MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/07/2009