ERIC XUE SONG WANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070626

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

XUE SONG

Last Name

WANG

Business Name

ERIC XUE SONG WANG MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020