CARMELA D TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027318

License Status

EXPIRED

Business

First Name

CARMELA D

Last Name

TAN

Business Name

CARMELA D TAN

Original Issue Date

06/27/1991

Effective Date

06/27/1991

Expiration Date

06/23/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006