ISRAELLA CHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079930

License Status

CANCELLED

Business

Title

First Name

ISRAELLA

Last Name

CHAN

Business Name

ISRAELLA CHAN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

BLOOMINGDALE

State

Zip

60108

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/30/2025