KONG MENG TAN MD - Medical Doctor License in California | # 036045915

KONG MENG TAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045915

License Status

INACTIVE

Business

N

First Name

KONG MENG

Last Name

TAN

Suffix

MD

Business Name

KONG MENG TAN MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006