THOMAS W WANG 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

THOMAS W

Last Name

WANG

Business Name

THOMAS W WANG

Original Issue Date

06/10/1996

Effective Date

06/10/1996

Expiration Date

07/31/2002

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006