BABY THAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

BABY

Last Name

THAN

Business Name

BABY THAN MD

Original Issue Date

11/27/2013

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023