KENNETH TAN TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124113

License Status

INACTIVE

Business

First Name

KENNETH

Middle

TAN

Last Name

TAN

Suffix

Business Name

KENNETH TAN TAN MD

Original Issue Date

07/28/2009

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

RIVERSIDE

State

Zip

92507

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/12/2017