MARK C TAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107145

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

TAN

Business Name

MARK C TAN

Original Issue Date

06/10/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

04/19/2023