TERESA W CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082693

License Status

NOT RENEWED

Business

First Name

TERESA W

Last Name

CHAN

Suffix

Business Name

TERESA W CHAN MD

Original Issue Date

06/26/1991

Effective Date

06/26/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006