ROSS TANIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160830

License Status

ACTIVE

Business

Title

First Name

ROSS

Last Name

TANIS

Business Name

ROSS TANIS MD

Original Issue Date

06/10/2022

Effective Date

07/09/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2024