ELISA KEH WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

ELISA KEH

Last Name

WONG

Suffix

Business Name

ELISA KEH WONG MD

Original Issue Date

01/05/2011

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017