ELANA NICOLE TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144631

License Status

NOT RENEWED

Business

First Name

ELANA

Middle

NICOLE

Last Name

TAN

Suffix

Business Name

ELANA NICOLE TAN MD

Original Issue Date

11/09/2017

Effective Date

11/09/2017

Expiration Date

09/30/2020

City

ATLANTA

State

Zip

30328

County

FULTON

Ever Disciplined

LastModifiedDate

01/14/2021