TRACEY HUIJUN FAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163770

License Status

ACTIVE

Business

Title

First Name

TRACEY

Middle

HUIJUN

Last Name

FAN

Business Name

TRACEY HUIJUN FAN DO

Original Issue Date

02/23/2023

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023