DAVID D CHAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

Last Name

CHAN

Business Name

DAVID D CHAN DO

Original Issue Date

04/24/2013

Effective Date

04/24/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/17/2014