WAYNE DI WONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

WAYNE

Middle

Last Name

WONG

Suffix

Business Name

WAYNE DI WONG MD

Original Issue Date

04/23/2009

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023