LUKE DAVID WANG HERMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

LUKE

Middle

DAVID WANG

Last Name

HERMAN

Suffix

Business Name

LUKE DAVID WANG HERMAN MD

Original Issue Date

08/05/2010

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023