THEODORE WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

WANG

Suffix

Business Name

THEODORE WANG MD

Original Issue Date

12/05/1989

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023