FANG WU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060681

License Status

EXPIRED

Business

Title

First Name

FANG

Last Name

Business Name

FANG WU MD

Original Issue Date

07/12/2011

Effective Date

07/12/2011

Expiration Date

07/11/2014

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015