DAVID Z WANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

DAVID Z

Last Name

WANG

Business Name

DAVID Z WANG

Original Issue Date

10/24/1995

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021