MICHAEL WONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

WONG

Business Name

MICHAEL WONG MD

Original Issue Date

09/19/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023