PHILIP DEAN PAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

PHILIP

Middle

DEAN

Last Name

PAN

Suffix

Business Name

PHILIP DEAN PAN MD

Original Issue Date

11/26/1997

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023