KYLE SAMUEL CHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084100

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

SAMUEL

Last Name

CHAN

Business Name

KYLE SAMUEL CHAN MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/31/2024