SHIRLEY N TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027456

License Status

EXPIRED

Business

First Name

SHIRLEY N

Last Name

TAN

Suffix

Business Name

SHIRLEY N TAN MD

Original Issue Date

07/29/1991

Effective Date

07/29/1991

Expiration Date

07/24/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006