ERNESTO T TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049705

License Status

ACTIVE

Business

First Name

ERNESTO T

Last Name

TAN

Suffix

Business Name

ERNESTO T TAN MD

Original Issue Date

08/28/1974

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

04/11/2023