ELIZABETH CHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075452

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Last Name

CHAN

Business Name

ELIZABETH CHAN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Rehabilitation

Ever Disciplined

LastModifiedDate

04/03/2020