License Directory

Fang Pan Su Md

Inactive

Illinois license 036052352

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036052352
Status
Inactive
First issued
February 13, 1976
Expired
July 31, 1987
License holder
Fang Pan Su Md
Entity type
Individual

Classifications

More from the license record

Current term began
02/13/1976

Contact

Westerly, RI 02891
Rhode Island County