REX ALEXANDER WONG MARCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

REX ALEXANDER

Middle

WONG

Last Name

MARCO

Suffix

Business Name

REX ALEXANDER WONG MARCO MD

Original Issue Date

08/20/1999

Effective Date

08/20/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006