ROBERT CHEN FANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046469

License Status

EXPIRED

Business

First Name

ROBERT

Middle

CHEN

Last Name

FANG

Suffix

Business Name

ROBERT CHEN FANG MD

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/15/2006

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006