PHYLLIS HAEWON HAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

PHYLLIS HAEWON

Last Name

HAN

Suffix

Business Name

PHYLLIS HAEWON HAN MD

Original Issue Date

07/23/1992

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023