TRIPHENA M WONG DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****83

NOT RENEWED

N

DO

TRIPHENA

M

WONG

TRIPHENA M WONG DO

06/03/2019

06/21/2021

07/31/2023

CHICAGO

IL

60613

COOK

PRACTITIONER

II III IV V

N

11/30/2023