GRACE HSUANHWA WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102794

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

HSUANHWA

Last Name

WANG

Suffix

Business Name

GRACE HSUANHWA WANG MD

Original Issue Date

06/22/2000

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

GILLETTE

State

Zip

82718

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021