LUCAS CHAN MD - Medical Doctor License in Illinois | # 125071071

LUCAS CHAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071071

License Status

CANCELLED

Business

N

Title

MD

First Name

LUCAS

Last Name

CHAN

Business Name

LUCAS CHAN MD

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2020

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/28/2017