PAUL C FAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019568

License Status

EXPIRED

Business

First Name

PAUL

Middle

Last Name

FAN

Business Name

PAUL C FAN

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006