MICHAEL MAONAN PAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076513

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

MAONAN

Last Name

PAN

Business Name

MICHAEL MAONAN PAN MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/29/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022