ROBERT CHEN FANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114607

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CHEN

Last Name

FANG

Suffix

Business Name

ROBERT CHEN FANG MD

Original Issue Date

09/15/2005

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011