KENNETH K CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

CHAN

Business Name

KENNETH K CHAN MD

Original Issue Date

01/05/2018

Effective Date

01/05/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60653

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021