KINH LUAN DINH PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111953

License Status

NOT RENEWED

Business

First Name

KINH

Middle

LUAN DINH

Last Name

PHAN

Suffix

Business Name

KINH LUAN DINH PHAN MD

Original Issue Date

07/27/2004

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021