GENE C WONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

GENE C

Last Name

WONG

Suffix

Business Name

GENE C WONG MD

Original Issue Date

08/26/1993

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61702

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023