BERNARDO O TAN JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033863

License Status

EXPIRED

Business

First Name

BERNARDO O

Last Name

TAN JR

Business Name

BERNARDO O TAN JR

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

08/02/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006