GENEVIEVE FRANCES WONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061169

License Status

CANCELLED

Business

Title

First Name

GENEVIEVE

Middle

FRANCES

Last Name

WONG

Business Name

GENEVIEVE FRANCES WONG MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/26/2015

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/23/2015