KELLEY CHAN MD - Medical Doctor License in Illinois | # 125077527

KELLEY CHAN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077527

License Status

CANCELLED

Business

N

Title

MD

First Name

KELLEY

Last Name

CHAN

Business Name

KELLEY CHAN MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

04/23/2021