GENEVIEVE FRANCES WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

GENEVIEVE

Middle

FRANCES

Last Name

WONG

Business Name

GENEVIEVE FRANCES WONG MD

Original Issue Date

08/10/2015

Effective Date

08/10/2015

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017