TERRENCE C WONG 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

TERRENCE C

Last Name

WONG

Business Name

TERRENCE C WONG

Original Issue Date

05/26/1987

Effective Date

05/26/1987

Expiration Date

07/31/2002

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011