HENRY TAN PIMENTEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041603

License Status

NOT RENEWED

Business

First Name

HENRY TAN

Last Name

PIMENTEL

Suffix

Business Name

HENRY TAN PIMENTEL MD

Original Issue Date

03/29/1968

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1987000206

Action

Probation

Discipline Start Date

06/20/1994

Discipline End Date

06/19/1996