WAYLAND WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

WAYLAND

Last Name

WONG

Suffix

Business Name

WAYLAND WONG MD

Original Issue Date

01/20/2000

Effective Date

01/20/2000

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011