HIEDILIZA YAMZON TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027144

License Status

EXPIRED

Business

Title

First Name

HIEDILIZA

Middle

YAMZON

Last Name

TAN

Business Name

HIEDILIZA YAMZON TAN MD

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006