SIDHARTHA TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015136

License Status

EXPIRED

Business

First Name

SIDHARTHA

Last Name

TAN

Suffix

Business Name

SIDHARTHA TAN MD

Original Issue Date

02/07/1983

Effective Date

02/07/1983

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

01/14/2008