CHONGXIAN PAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040451

License Status

EXPIRED

Business

First Name

CHONGXIAN

Last Name

PAN

Suffix

Business Name

CHONGXIAN PAN MD

Original Issue Date

07/30/1999

Effective Date

07/30/1999

Expiration Date

07/29/2002

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006