JEREMY DACHENG LAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069916

License Status

CANCELLED

Business

Title

First Name

JEREMY

Middle

DACHENG

Last Name

LAI

Business Name

JEREMY DACHENG LAI MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

02/27/2020