License holder summary

RONNY WIBISANA WENANG is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for RONNY WIBISANA WENANG is PHILADELPHIA PA 19104. This medical practitioner license is not current. The license was granted 05/24/1974 and expired on 12/31/1978.

Department of State

Board of Medicine

RONNY WIBISANA WENANG
Medical Physician And Surgeon
License number
MD015194E
Date granted
05/24/1974
Date expires
12/31/1978
Class
Medical Physician And Surgeon
Status
Expired
Address
PHILADELPHIA PA 19104
medicinepa.com
ID 37686893
LAST UPDATED 2026-05-17 12:37:10 UTC

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