STANLEY SHIAO-FONG WU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

STANLEY

Middle

SHIAO-FONG

Last Name

Suffix

Business Name

STANLEY SHIAO-FONG WU MD

Original Issue Date

05/31/2005

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023