EDIE Y CHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109245

License Status

ACTIVE

Business

First Name

EDIE

Middle

Last Name

CHAN

Suffix

Business Name

EDIE Y CHAN MD

Original Issue Date

05/14/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/28/2023