BENJAMIN JENG SH WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

BENJAMIN JENG SH

Last Name

WANG

Suffix

Business Name

BENJAMIN JENG SH WANG MD

Original Issue Date

01/01/1997

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020