PHILIP DEAN PAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086766

License Status

ACTIVE

Business

First Name

PHILIP

Middle

DEAN

Last Name

PAN

Suffix

Business Name

PHILIP DEAN PAN MD

Original Issue Date

07/14/1993

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/14/2023