DEBORA CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DEBORA

Last Name

CHAN

Suffix

Business Name

DEBORA CHAN MD

Original Issue Date

02/14/1991

Effective Date

02/14/1991

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006