KONG MENG TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045915

License Status

INACTIVE

Business

First Name

KONG MENG

Last Name

TAN

Suffix

Business Name

KONG MENG TAN MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/31/1987

City

OAKLAND

State

Zip

94610

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006