EDWARD KWANG YI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041090

License Status

EXPIRED

Business

First Name

EDWARD

Middle

KWANG

Last Name

Suffix

Business Name

EDWARD KWANG YI MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

FORT WAYNE

State

Zip

46898

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006