DAVID E WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

WONG

Suffix

Business Name

DAVID E WONG MD

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

07/31/2005

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006