CLARENCE WING-CHUNG CHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076688

License Status

CANCELLED

Business

Title

First Name

CLARENCE

Middle

WING-CHUNG

Last Name

CHAN

Business Name

CLARENCE WING-CHUNG CHAN MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

04/14/2020