ANTONIO Q CHAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045173

License Status

INACTIVE

Business

First Name

ANTONIO Q

Last Name

CHAN

Suffix

Business Name

ANTONIO Q CHAN MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1993

City

SAN JOSE

State

Zip

95148

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

08/26/2010