REBECCA CHAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

REBECCA

Last Name

CHAN

Business Name

REBECCA CHAN

Original Issue Date

01/25/2006

Effective Date

05/06/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017