DI FAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123598

License Status

ACTIVE

Business

First Name

Last Name

FAN

Suffix

Business Name

DI FAN MD

Original Issue Date

06/02/2009

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CAROL STREAM

State

Zip

60188

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2023