LILY TAN CHAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051803

License Status

INACTIVE

Business

First Name

LILY TAN

Last Name

CHAN

Business Name

LILY TAN CHAN

Original Issue Date

08/15/1975

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

04/17/2008