STEPHANIE DIANE GAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138235

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

DIANE

Last Name

GAN

Business Name

STEPHANIE DIANE GAN MD

Original Issue Date

06/10/2015

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023