JULIE M PAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110073

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

PAN

Business Name

JULIE M PAN

Original Issue Date

09/09/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008