MOE THANT TIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104615

License Status

NOT RENEWED

Business

First Name

MOE

Middle

THANT

Last Name

TIN

Business Name

MOE THANT TIN

Original Issue Date

04/30/2001

Effective Date

04/30/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006