THERESE E CHAN - Medical Doctor License in Illinois | # 125040964

THERESE E CHAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040964

License Status

EXPIRED

Business

N

First Name

THERESE

Middle

E

Last Name

CHAN

Business Name

THERESE E CHAN

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006