VIRGILIO NALAZON CHAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111124

License Status

INACTIVE

Business

First Name

VIRGILIO

Middle

NALAZON

Last Name

CHAN

Suffix

Business Name

VIRGILIO NALAZON CHAN MD

Original Issue Date

03/31/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

INDIANAPOLIS

State

Zip

46225

Ever Disciplined

LastModifiedDate

04/17/2008