ANTHONY CALVIN PHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165088

License Status

ACTIVE

Business

Title

First Name

ANTHONY

Middle

CALVIN

Last Name

PHAN

Business Name

ANTHONY CALVIN PHAN MD

Original Issue Date

06/08/2023

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2023