JONATHAN CLARK WU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

CLARK

Last Name

Suffix

Business Name

JONATHAN CLARK WU MD

Original Issue Date

08/28/2002

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023