THANH THIEN HA LAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056493

License Status

CANCELLED

Business

Title

First Name

THANH

Middle

THIEN HA

Last Name

LAN

Business Name

THANH THIEN HA LAN MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

WINNETKA

State

Zip

60093

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/08/2009