EVANGELINE CO TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065332

License Status

ACTIVE

Business

First Name

EVANGELINE

Middle

Last Name

TAN

Suffix

Business Name

EVANGELINE CO TAN MD

Original Issue Date

09/13/1982

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

VERMILION

Ever Disciplined

LastModifiedDate

04/06/2023