SIDHARTHA TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068889

License Status

NOT RENEWED

Business

First Name

SIDHARTHA

Last Name

TAN

Suffix

Business Name

SIDHARTHA TAN MD

Original Issue Date

06/25/1984

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017