CARLYLE HUNG LUN CHAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053258

License Status

INACTIVE

Business

First Name

CARLYLE HUNG LUN

Last Name

CHAN

Suffix

Business Name

CARLYLE HUNG LUN CHAN MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

Expiration Date

07/31/1987

City

MILWAUKEE

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006