LOLA Y KWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

Title

First Name

LOLA

Middle

Last Name

KWAN

Business Name

LOLA Y KWAN MD

Original Issue Date

04/08/2010

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021