ROLYCITO A CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054884

License Status

NOT RENEWED

Business

First Name

ROLYCITO A

Last Name

CHAN

Suffix

Business Name

ROLYCITO A CHAN MD

Original Issue Date

07/14/1977

Effective Date

07/14/1977

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006