JUSTIN BRIAN GAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053220

License Status

CANCELLED

Business

First Name

JUSTIN

Middle

BRIAN

Last Name

GAN

Suffix

Business Name

JUSTIN BRIAN GAN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/26/2007