OLIVIA C PAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

OLIVIA

Middle

Last Name

PAN

Business Name

OLIVIA C PAN MD

Original Issue Date

07/25/2008

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021