FEDERICO T TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053799

License Status

ACTIVE

Business

First Name

FEDERICO

Middle

Last Name

TAN

Suffix

Business Name

FEDERICO T TAN MD

Original Issue Date

10/14/1976

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023