MICHAEL CHEN DO - Medical Doctor License in Illinois | # 125079403

MICHAEL CHEN DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079403

License Status

CANCELLED

Business

N

Title

DO

First Name

MICHAEL

Last Name

CHEN

Business Name

MICHAEL CHEN DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/23/2024