JACQUELINE TRINIDAD CHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137631

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

TRINIDAD

Last Name

CHAN

Business Name

JACQUELINE TRINIDAD CHAN MD

Original Issue Date

03/23/2015

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

NORTH AUGUSTA

State

Zip

29841

Ever Disciplined

LastModifiedDate

01/14/2021