KELVIN ANTHONY WONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078642

License Status

EXPIRED

Business

Title

First Name

KELVIN

Middle

ANTHONY

Last Name

WONG

Business Name

KELVIN ANTHONY WONG MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022