PHILIP DEAN PAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

DEAN

Last Name

PAN

Suffix

Business Name

PHILIP DEAN PAN MD

Original Issue Date

08/28/2002

Effective Date

08/28/2002

Expiration Date

07/31/2005

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020