SHU FANG CHEN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****59

NOT RENEWED

N

SHU FANG

CHEN

MD

SHU FANG CHEN MD

01/01/1997

07/31/2002

GREENVILLE

IL

62246

BOND

II III IV V

N

10/09/2006