JASON TAO KAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136996

License Status

NOT RENEWED

Business

Title

First Name

JASON

Middle

TAO

Last Name

KAN

Business Name

JASON TAO KAN MD

Original Issue Date

12/30/2014

Effective Date

12/30/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017