LESLIE ANN WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

LESLIE

Middle

ANN

Last Name

WONG

Business Name

LESLIE ANN WONG MD

Original Issue Date

01/14/2015

Effective Date

01/14/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017