DOAN LT TRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

DOAN

Middle

Last Name

TRAN

Business Name

DOAN LT TRAN MD

Original Issue Date

03/16/2018

Effective Date

03/16/2018

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021