LAUREANO TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042981

License Status

INACTIVE

Business

First Name

LAUREANO

Last Name

TAN

Suffix

Business Name

LAUREANO TAN MD

Original Issue Date

09/26/1969

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014