VIVIAN PAN IDPR Registered License verification

Business Entity

CANCELLED

License Type

IDPR Registered

Description

TEMPORARY GENETIC COUNSELOR

License Number

247000040

License Status

CANCELLED

Business

First Name

VIVIAN

Last Name

PAN

Business Name

VIVIAN PAN

Original Issue Date

06/08/2012

Effective Date

06/08/2012

Expiration Date

06/08/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

03/13/2015