KAILI FAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030763

License Status

EXPIRED

Business

First Name

KAILI

Last Name

FAN

Suffix

Business Name

KAILI FAN MD

Original Issue Date

10/18/1993

Effective Date

10/18/1993

Expiration Date

10/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006