NANCY LEE CHAN AMIGO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067932

License Status

INACTIVE

Business

First Name

NANCY LEE CHAN

Last Name

AMIGO

Suffix

Business Name

NANCY LEE CHAN AMIGO MD

Original Issue Date

11/16/1983

Effective Date

11/16/1983

Expiration Date

07/31/1987

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

09/20/2006