LU WANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059720

License Status

CANCELLED

Business

Title

First Name

Last Name

WANG

Business Name

LU WANG MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/11/2011