MANUEL NELSON D TAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105944

License Status

INACTIVE

Business

First Name

MANUEL NELSON D

Last Name

TAN

Business Name

MANUEL NELSON D TAN

Original Issue Date

12/04/2001

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

OCALA

State

Zip

34471

Ever Disciplined

LastModifiedDate

06/16/2020