NICHOLAS WEI WEN CHOONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

WEI WEN

Last Name

CHOONG

Suffix

Business Name

NICHOLAS WEI WEN CHOONG MD

Original Issue Date

10/17/2005

Effective Date

10/17/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/17/2008