EVAN NICHOLAS LIAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074999

License Status

CANCELLED

Business

Title

First Name

EVAN

Middle

NICHOLAS

Last Name

LIAN

Business Name

EVAN NICHOLAS LIAN MD

Original Issue Date

12/21/2021

Effective Date

12/21/2021

Expiration Date

12/20/2024

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/15/2024