PROSPER L WANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

PROSPER

Middle

Last Name

WANG

Business Name

PROSPER L WANG

Original Issue Date

01/20/2000

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014