MARTIN D CHEN MD - Medical Doctor License in Illinois | # 125048045

MARTIN D CHEN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048045

License Status

CANCELLED

Business

N

First Name

MARTIN

Middle

D

Last Name

CHEN

Suffix

MD

Business Name

MARTIN D CHEN MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006