DAN C WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

DAN C

Last Name

WONG

Suffix

Business Name

DAN C WONG MD

Original Issue Date

11/25/1991

Effective Date

11/25/1991

Expiration Date

07/31/1996

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006