MARK C TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031505

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

TAN

Business Name

MARK C TAN

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006