SHIRLEY N TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087533

License Status

NOT RENEWED

Business

First Name

SHIRLEY N

Last Name

TAN

Suffix

Business Name

SHIRLEY N TAN MD

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/1999

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/20/2006