LESLIE ANN WONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137084

License Status

NOT RENEWED

Business

Title

First Name

LESLIE

Middle

ANN

Last Name

WONG

Business Name

LESLIE ANN WONG MD

Original Issue Date

01/14/2015

Effective Date

01/14/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017