JENNY S TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035577

License Status

EXPIRED

Business

First Name

JENNY

Middle

Last Name

TAN

Suffix

Business Name

JENNY S TAN MD

Original Issue Date

12/14/1996

Effective Date

12/14/1996

Expiration Date

12/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006