ELAINE M CHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045879

License Status

EXPIRED

Business

First Name

ELAINE

Middle

Last Name

CHAM

Business Name

ELAINE M CHAM

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

10/03/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

10/17/2007