BERNARDO O TAN JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094545

License Status

NOT RENEWED

Business

First Name

BERNARDO O

Last Name

TAN JR

Business Name

BERNARDO O TAN JR

Original Issue Date

11/21/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/06/2008