CHUCK CHAN DO - Medical Doctor License in Illinois | # 125078109

CHUCK CHAN DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078109

License Status

CANCELLED

Business

N

Title

DO

First Name

CHUCK

Last Name

CHAN

Business Name

CHUCK CHAN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

05/14/2021