KINH LUAN DINH PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

KINH

Middle

LUAN DINH

Last Name

PHAN

Suffix

Business Name

KINH LUAN DINH PHAN MD

Original Issue Date

11/10/2011

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021