NICHOLAS WEI WEN CHOONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114639

License Status

INACTIVE

Business

First Name

NICHOLAS

Middle

WEI WEN

Last Name

CHOONG

Suffix

Business Name

NICHOLAS WEI WEN CHOONG MD

Original Issue Date

09/21/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MILWAUKEE

State

Zip

53226

Ever Disciplined

LastModifiedDate

04/17/2008