MELY C TAN MD - Medical Doctor License in Indiana | # 036061309

MELY C TAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061309

License Status

NOT RENEWED

Business

N

First Name

MELY C

Last Name

TAN

Suffix

MD

Business Name

MELY C TAN MD

Original Issue Date

11/21/1980

Effective Date

11/21/1980

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006