ELAINE M CHAM - Medical Doctor License in Illinois | # 125045879

ELAINE M CHAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045879

License Status

EXPIRED

Business

N

First Name

ELAINE

Middle

M

Last Name

CHAM

Business Name

ELAINE M CHAM

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

10/03/2007

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

10/17/2007