DENNIS A WONG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

DENNIS

A

WONG

MD

DENNIS A WONG MD

09/18/2001

09/18/2001

07/31/2005

CHICAGO

IL

60637

COOK

II III IV V

N

10/09/2006