JONATHAN I-CHUN WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

I-CHUN

Last Name

WANG

Suffix

Business Name

JONATHAN I-CHUN WANG MD

Original Issue Date

04/06/2005

Effective Date

04/06/2005

Expiration Date

07/31/2008

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011