TISHA M TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137011

License Status

ACTIVE

Business

Title

First Name

TISHA

Middle

Last Name

TAN

Business Name

TISHA M TAN MD

Original Issue Date

01/02/2015

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

LAKE

Ever Disciplined

LastModifiedDate

07/06/2023