GISELLA SARITA WONG NANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

GISELLA

Middle

SARITA

Last Name

WONG NANO

Business Name

GISELLA SARITA WONG NANO MD

Original Issue Date

07/06/2012

Effective Date

07/06/2012

Expiration Date

07/31/2014

City

ROCHESTER

State

Zip

55901

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014