DIANE LEE WANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064167

License Status

EXPIRED

Business

Title

First Name

DIANE

Middle

LEE

Last Name

WANG

Business Name

DIANE LEE WANG MD

Original Issue Date

06/28/2013

Effective Date

06/28/2013

Expiration Date

06/27/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015