EDWARD WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111299

License Status

NOT RENEWED

Business

First Name

EDWARD

Last Name

WONG

Suffix

Business Name

EDWARD WONG MD

Original Issue Date

05/19/2004

Effective Date

08/05/2011

Expiration Date

07/31/2014

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2009008254

Action

Reprimand

Discipline Start Date

09/14/2012

Discipline Reason

due to a sister-state discipline in the state of California.