ROGER A TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072786

License Status

NOT RENEWED

Business

First Name

ROGER A

Last Name

TAN

Suffix

Business Name

ROGER A TAN MD

Original Issue Date

06/02/1986

Effective Date

06/02/1986

Expiration Date

07/31/1999

City

DEWITT

State

Zip

52742

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006