PENG NAN WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052044

License Status

NOT RENEWED

Business

First Name

PENG NAN

Last Name

WANG

Suffix

Business Name

PENG NAN WANG MD

Original Issue Date

10/17/1975

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017