ALEXANDER FRANCIS PHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Middle

FRANCIS

Last Name

PHAN

Business Name

ALEXANDER FRANCIS PHAN

Original Issue Date

10/31/2022

Effective Date

10/31/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025