RUSSELL CHAN IGARASHI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078720

License Status

EXPIRED

Business

Title

First Name

RUSSELL

Middle

CHAN

Last Name

IGARASHI

Business Name

RUSSELL CHAN IGARASHI DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024