ANDREW ANDI CHEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040997

License Status

CANCELLED

Business

First Name

ANDREW

Middle

ANDI

Last Name

CHEN

Suffix

Business Name

ANDREW ANDI CHEN MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006