WIEN CHAN MD - Medical Doctor License in Illinois | # 125074363

WIEN CHAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074363

License Status

EXPIRED

Business

N

Title

MD

First Name

WIEN

Last Name

CHAN

Business Name

WIEN CHAN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022