STEPHANIE ERIN WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

ERIN

Last Name

WONG

Business Name

STEPHANIE ERIN WONG MD

Original Issue Date

02/21/2019

Effective Date

02/21/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021