THANH THIEN HA LAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

Title

First Name

THANH

Middle

THIEN HA

Last Name

LAN

Business Name

THANH THIEN HA LAN MD

Original Issue Date

05/02/2012

Effective Date

09/02/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023