CHUNG EN WANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

CHUNG

Middle

Last Name

WANG

Business Name

CHUNG EN WANG MD

Original Issue Date

01/11/2024

Effective Date

01/11/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2024