KENNY L WANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

KENNY

Middle

Last Name

WANG

Business Name

KENNY L WANG MD

Original Issue Date

04/04/2018

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023