BRADFORD A TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022917

License Status

EXPIRED

Business

First Name

BRADFORD A

Last Name

TAN

Business Name

BRADFORD A TAN

Original Issue Date

06/28/1988

Effective Date

06/28/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006