JENNIFER L CHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

CHAN

Suffix

Business Name

JENNIFER L CHAN MD

Original Issue Date

07/10/2008

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

06/13/2023