LEO T T TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044663

License Status

NOT RENEWED

Business

First Name

LEO T T

Last Name

TAN

Suffix

Business Name

LEO T T TAN MD

Original Issue Date

08/09/1971

Effective Date

08/09/1971

City

BIRMINGHAM

State

Zip

35226

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/20/2006