ALEXANDER YAN PAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

YAN

Last Name

PAN

Business Name

ALEXANDER YAN PAN MD

Original Issue Date

08/16/2019

Effective Date

10/28/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021