JOANNA ELLEN PAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

JOANNA

Middle

ELLEN

Last Name

PAN

Business Name

JOANNA ELLEN PAN MD

Original Issue Date

06/18/2020

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

TUSCALOOSA

State

Zip

35406

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023