FU-SHIH PAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023547

License Status

EXPIRED

Business

First Name

FU-SHIH

Last Name

PAN

Business Name

FU-SHIH PAN

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

12/31/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006