THWAN H HAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045719

License Status

NOT RENEWED

Business

First Name

THWAN H

Last Name

HAN

Suffix

Business Name

THWAN H HAN MD

Original Issue Date

06/17/1972

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

11/01/2017