WEN KUEI PAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

WEN KUEI

Last Name

PAN

Suffix

Business Name

WEN KUEI PAN MD

Original Issue Date

11/01/1984

Effective Date

11/01/1984

Expiration Date

07/31/1987

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006