CHUCK CHAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

CHUCK

Last Name

CHAN

Business Name

CHUCK CHAN DO

Original Issue Date

10/08/2023

Effective Date

10/08/2023

Expiration Date

07/31/2026

City

CHICGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/25/2024