THERESE E CHAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109276

License Status

NOT RENEWED

Business

First Name

THERESE

Middle

Last Name

CHAN

Business Name

THERESE E CHAN

Original Issue Date

05/19/2003

Effective Date

05/19/2003

Expiration Date

07/31/2005

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006