KEVIN M CHAN - Medical Doctor License in Illinois | # 125020911

KEVIN M CHAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020911

License Status

EXPIRED

Business

N

First Name

KEVIN M

Last Name

CHAN

Business Name

KEVIN M CHAN

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

06/22/1990

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006