KEVIN W CHEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

KEVIN

Middle

Last Name

CHEN

Business Name

KEVIN W CHEN MD

Original Issue Date

07/18/2014

Effective Date

07/18/2014

Expiration Date

07/31/2017

City

MORTON GROVE

State

Zip

60053

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020