LUIS D TAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067489

License Status

NOT RENEWED

Business

First Name

LUIS D

Last Name

TAN JR

Suffix

Business Name

LUIS D TAN JR MD

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006