EDISON N TAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097391

License Status

NOT RENEWED

Business

First Name

EDISON

Middle

Last Name

TAN

Business Name

EDISON N TAN

Original Issue Date

03/13/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011