MICHAEL CHEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079403

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Last Name

CHEN

Business Name

MICHAEL CHEN DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2025

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/23/2024