MARY JEN MEI WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JEN MEI

Last Name

WANG

Suffix

Business Name

MARY JEN MEI WANG MD

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011