KENTEN PEY-KUEN WANG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

KENTEN

Middle

PEY-KUEN

Last Name

WANG

Suffix

Business Name

KENTEN PEY-KUEN WANG DO

Original Issue Date

09/10/2022

Effective Date

06/25/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023