CHIEN C FAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026251

License Status

EXPIRED

Business

First Name

CHIEN

Middle

Last Name

FAN

Business Name

CHIEN C FAN

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

07/12/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006