CHI-HUA M FANG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****45

NOT RENEWED

N

CHI-HUA M

FANG

MD

CHI-HUA M FANG MD

04/15/1991

04/15/1991

07/31/2002

CHICAGO

IL

60641

COOK

II III IV V

N

10/09/2006