MICHELLE QUYNH DAO PHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

QUYNH DAO

Last Name

PHAN

Business Name

MICHELLE QUYNH DAO PHAN MD

Original Issue Date

09/12/2019

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023