VIVIAN PAN IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000178

License Status

ACTIVE

Business

First Name

VIVIAN

Last Name

PAN

Business Name

VIVIAN PAN

Original Issue Date

05/29/2014

Effective Date

11/04/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2024