KYLE SAMUEL CHAN MD - Medical Doctor License in Illinois | # 125084100

KYLE SAMUEL CHAN MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084100

License Status

ACTIVE

Business

N

Title

MD

First Name

KYLE

Middle

SAMUEL

Last Name

CHAN

Business Name

KYLE SAMUEL CHAN MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

State

IL

Specialty/Qualifier

Ophthalmology

Ever Disciplined

N

LastModifiedDate

05/31/2024