HERMINIA G HERRERA-TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099198

License Status

NOT RENEWED

Business

First Name

HERMINIA

Middle

Last Name

HERRERA-TAN

Suffix

Business Name

HERMINIA G HERRERA-TAN MD

Original Issue Date

10/14/1998

Effective Date

10/14/1998

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006