CARMELA D TAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087858

License Status

NOT RENEWED

Business

First Name

CARMELA D

Last Name

TAN

Business Name

CARMELA D TAN

Original Issue Date

12/15/1993

Effective Date

12/15/1993

Expiration Date

07/31/1999

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006