LIP B TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PROFESSOR

License Number

113000010

License Status

EXPIRED

Business

First Name

LIP

Middle

Last Name

TAN

Business Name

LIP B TAN

Original Issue Date

06/21/1988

Effective Date

06/21/1988

Expiration Date

06/20/1989

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006