MING FAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041514

License Status

EXPIRED

Business

First Name

MING

Last Name

FAN

Suffix

Business Name

MING FAN MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006