KENNETH YAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068441

License Status

EXPIRED

Business

Title

First Name

KENNETH

Last Name

YAN

Business Name

KENNETH YAN MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/11/2022