GLENN ANTHONY A TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119964

License Status

ACTIVE

Business

First Name

GLENN ANTHONY

Middle

Last Name

TAN

Suffix

Business Name

GLENN ANTHONY A TAN MD

Original Issue Date

01/14/2008

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/22/2023