THERESE E CHAN - Medical Doctor License in Illinois | # 036109276

THERESE E CHAN

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109276

License Status

NOT RENEWED

Business

N

First Name

THERESE

Middle

E

Last Name

CHAN

Business Name

THERESE E CHAN

Original Issue Date

05/19/2003

Effective Date

05/19/2003

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006