PENG NAN WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

PENG NAN

Last Name

WANG

Suffix

Business Name

PENG NAN WANG MD

Original Issue Date

01/01/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017