JUSTIN BRIAN GAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

BRIAN

Last Name

GAN

Suffix

Business Name

JUSTIN BRIAN GAN MD

Original Issue Date

04/30/2010

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023