JULIE M PAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040818

License Status

EXPIRED

Business

First Name

JULIE

Middle

Last Name

PAN

Business Name

JULIE M PAN

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child & Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006