KENNETH NIEN WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

KENNETH NIEN

Last Name

WANG

Suffix

Business Name

KENNETH NIEN WANG MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

FOX LAKE

State

Zip

60020

County

LAKE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006