MICHAEL CHAN MD - Medical Doctor License in Illinois | # 125048621

MICHAEL CHAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048621

License Status

CANCELLED

Business

N

First Name

MICHAEL

Last Name

CHAN

Suffix

MD

Business Name

MICHAEL CHAN MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

State

IL

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006