ANDREA LEE CHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055368

License Status

EXPIRED

Business

Title

First Name

ANDREA

Middle

LEE

Last Name

CHEN

Business Name

ANDREA LEE CHEN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

08/29/2012