CHEN TSU BERMING PAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052027

License Status

INACTIVE

Business

First Name

CHEN TSU BERMING

Last Name

PAN

Suffix

Business Name

CHEN TSU BERMING PAN MD

Original Issue Date

10/17/1975

Effective Date

10/17/1975

Expiration Date

07/31/1987

City

WANATAH

State

Zip

46390

County

INDIANA

Ever Disciplined

LastModifiedDate

05/01/2008