EDIE Y CHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

EDIE

Middle

Last Name

CHAN

Suffix

Business Name

EDIE Y CHAN MD

Original Issue Date

07/03/2007

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023