POLY CHEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047412

License Status

EXPIRED

Business

First Name

POLY

Last Name

CHEN

Business Name

POLY CHEN

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006