KEVIN M CHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020911

License Status

EXPIRED

Business

First Name

KEVIN M

Last Name

CHAN

Business Name

KEVIN M CHAN

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006