EILEEN Y WANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

CANCELLED

Business

First Name

EILEEN Y

Last Name

WANG

Suffix

Business Name

EILEEN Y WANG MD

Original Issue Date

08/15/1997

Effective Date

08/15/1997

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008