AMANDA PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146509

License Status

NOT RENEWED

Business

Title

First Name

AMANDA

Last Name

PHAN

Business Name

AMANDA PHAN MD

Original Issue Date

06/20/2018

Effective Date

05/20/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

11/30/2023