TIMOTHY C TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048127

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

TAN

Suffix

Business Name

TIMOTHY C TAN MD

Original Issue Date

08/23/1973

Effective Date

03/11/2022

Expiration Date

07/31/2023

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/19/2024