HERMINIA G HERRERA-TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033890

License Status

EXPIRED

Business

First Name

HERMINIA

Middle

Last Name

HERRERA-TAN

Suffix

Business Name

HERMINIA G HERRERA-TAN MD

Original Issue Date

08/16/1995

Effective Date

08/16/1995

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006