ROGER S CHAN - Medical Doctor License in Illinois | # 125042383

ROGER S CHAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042383

License Status

EXPIRED

Business

N

First Name

ROGER

Middle

S

Last Name

CHAN

Business Name

ROGER S CHAN

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/17/2007