GISELLE JOAN TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143996

License Status

NOT RENEWED

Business

Title

First Name

GISELLE

Middle

JOAN

Last Name

TAN

Business Name

GISELLE JOAN TAN MD

Original Issue Date

08/01/2017

Effective Date

09/15/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/30/2023