KUN K TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030794

License Status

EXPIRED

Business

First Name

KUN

Middle

Last Name

TAN

Business Name

KUN K TAN

Original Issue Date

01/10/1994

Effective Date

01/10/1994

Expiration Date

01/04/1995

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006