JASON JON CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JASON

Middle

JON

Last Name

CHAN

Suffix

Business Name

JASON JON CHAN MD

Original Issue Date

05/25/2006

Effective Date

05/25/2006

Expiration Date

07/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008