ALAN C WONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129733

License Status

INACTIVE

Business

Title

First Name

ALAN

Middle

Last Name

WONG

Business Name

ALAN C WONG MD

Original Issue Date

03/06/2012

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

PROVIDENCE

State

Zip

02906

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

04/12/2017