JAMES PAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130057

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Last Name

PAN

Business Name

JAMES PAN MD

Original Issue Date

04/12/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017