VICTOR W CHAN - Medical Doctor License in Illinois | # 125059122

VICTOR W CHAN

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059122

License Status

CANCELLED

Business

N

First Name

VICTOR

Middle

W

Last Name

CHAN

Business Name

VICTOR W CHAN

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

04/28/2011