BENITA B CHING TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088522

License Status

NOT RENEWED

Business

First Name

BENITA

Middle

B CHING

Last Name

TAN

Suffix

Business Name

BENITA B CHING TAN MD

Original Issue Date

06/07/1994

Effective Date

06/07/1994

Expiration Date

07/31/1996

City

UNION CITY

State

Zip

94587

Ever Disciplined

LastModifiedDate

07/06/2010

Case Number

2010003704

Action

Refuse To Renew

Discipline Start Date

07/06/2010

Discipline Reason

due to a sister-state discipline.