BRILLANTE CHAN SANTILLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059263

License Status

NOT RENEWED

Business

First Name

BRILLANTE CHAN

Last Name

SANTILLAN

Suffix

Business Name

BRILLANTE CHAN SANTILLAN MD

Original Issue Date

09/06/1979

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BENLD

State

Zip

62009

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/14/2011