STEPHANIE CHIEN RU CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142370

License Status

NOT RENEWED

Business

Title

First Name

STEPHANIE

Middle

CHIEN RU

Last Name

CHAN

Business Name

STEPHANIE CHIEN RU CHAN MD

Original Issue Date

02/07/2017

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

LAS VEGAS

State

Zip

89103

Ever Disciplined

LastModifiedDate

01/14/2021