STEPHEN ROBERT GAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155466

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

ROBERT

Last Name

GAN

Business Name

STEPHEN ROBERT GAN MD

Original Issue Date

02/01/2021

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

06/29/2023