WEN GUO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

WEN

Last Name

GUO

Suffix

Business Name

WEN GUO MD

Original Issue Date

08/04/1994

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/10/2011