JACK CHENG CHIEH YEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

JACK

Middle

CHENG CHIEH

Last Name

YEN

Suffix

Business Name

JACK CHENG CHIEH YEN MD

Original Issue Date

04/28/2010

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

VANDALIA

State

Zip

62471

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023