CHENG TAI CHEN

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****36

ACTIVE

N

CHENG TAI

CHEN

CHENG TAI CHEN

11/08/1983

07/06/2023

07/31/2026

WESTMONT

IL

60559

DUPAGE

II III IV V

N

07/06/2023