KENDALL LEIGHTON WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

KENDALL

Middle

LEIGHTON

Last Name

WONG

Suffix

Business Name

KENDALL LEIGHTON WONG MD

Original Issue Date

09/04/2002

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014