MICHELLE QUYNH DAO PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150664

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

QUYNH DAO

Last Name

PHAN

Business Name

MICHELLE QUYNH DAO PHAN MD

Original Issue Date

09/05/2019

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023