DANILO TIU TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029800

License Status

EXPIRED

Business

First Name

DANILO

Middle

TIU

Last Name

TAN

Suffix

Business Name

DANILO TIU TAN MD

Original Issue Date

05/21/1993

Effective Date

05/21/1993

Expiration Date

07/30/1999

City

N CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006