EDWARD FUNG CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098506

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

FUNG

Last Name

CHAN

Suffix

Business Name

EDWARD FUNG CHAN MD

Original Issue Date

07/29/1998

Effective Date

07/29/1998

Expiration Date

07/31/1999

City

OLD WESTBURY

State

Zip

11568

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006