KATY KA-LOK WONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

KATY

Middle

KA-LOK

Last Name

WONG

Suffix

Business Name

KATY KA-LOK WONG MD

Original Issue Date

10/24/2003

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023