GUBERT LEE TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028617

License Status

EXPIRED

Business

First Name

GUBERT LEE

Last Name

TAN

Suffix

Business Name

GUBERT LEE TAN MD

Original Issue Date

06/05/1992

Effective Date

06/05/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/29/2013