DANIEL KOON CHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

KOON

Last Name

CHAN

Business Name

DANIEL KOON CHAN MD

Original Issue Date

04/28/2021

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023