OLIVIA C PAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051543

License Status

EXPIRED

Business

Title

First Name

OLIVIA

Middle

Last Name

PAN

Business Name

OLIVIA C PAN MD

Original Issue Date

06/28/2006

Effective Date

06/28/2006

Expiration Date

06/27/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/15/2009