EDMUND BOREN CHEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065622

License Status

EXPIRED

Business

Title

First Name

EDMUND

Middle

BOREN

Last Name

CHEN

Business Name

EDMUND BOREN CHEN MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2017