TERESITA BELEN Y GAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059963

License Status

NOT RENEWED

Business

First Name

TERESITA BELEN Y

Last Name

GAN

Suffix

Business Name

TERESITA BELEN Y GAN MD

Original Issue Date

01/11/1980

Effective Date

01/11/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2008