MARK C TAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

TAN

Business Name

MARK C TAN

Original Issue Date

07/12/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ALTADENA

State

Zip

91001

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023