JEANETTE S TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025956

License Status

EXPIRED

Business

First Name

JEANETTE S

Last Name

TAN

Business Name

JEANETTE S TAN

Original Issue Date

07/25/1990

Effective Date

07/25/1990

Expiration Date

07/15/1993

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006