MICHAEL WONG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

WONG

Business Name

MICHAEL WONG OD

Original Issue Date

11/20/2018

Effective Date

11/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021