ANTHONY CALVIN WONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062527

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

CALVIN

Last Name

WONG

Suffix

Business Name

ANTHONY CALVIN WONG MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/19/2017