LUCY FUNG CHEN - Medical Doctor License in Illinois | # 125047409

LUCY FUNG CHEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047409

License Status

EXPIRED

Business

N

First Name

LUCY

Middle

FUNG

Last Name

CHEN

Business Name

LUCY FUNG CHEN

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007