RICHARD W CHAN - Medical Doctor License in Illinois | # 125027589

RICHARD W CHAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027589

License Status

EXPIRED

Business

N

First Name

RICHARD

Middle

W

Last Name

CHAN

Business Name

RICHARD W CHAN

Original Issue Date

11/21/1991

Effective Date

11/21/1991

Expiration Date

11/30/1994

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006