RENYAN WANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

CANCELLED

Business

First Name

RENYAN

Last Name

WANG

Suffix

Business Name

RENYAN WANG MD

Original Issue Date

06/29/1993

Effective Date

06/29/1993

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006