MERITA R C TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023878

License Status

EXPIRED

Business

First Name

MERITA R C

Last Name

TAN

Suffix

Business Name

MERITA R C TAN MD

Original Issue Date

05/19/1989

Effective Date

05/19/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006