JOHNSON JUN WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149575

License Status

NOT RENEWED

Business

Title

First Name

JOHNSON

Middle

JUN

Last Name

WONG

Business Name

JOHNSON JUN WONG MD

Original Issue Date

06/06/2019

Effective Date

06/06/2019

Expiration Date

09/30/2020

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

01/14/2021