JERRY THWIN WONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059655

License Status

EXPIRED

Business

First Name

JERRY

Middle

THWIN

Last Name

WONG

Suffix

Business Name

JERRY THWIN WONG MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/04/2015