DJERRICK C TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039790

License Status

EXPIRED

Business

First Name

DJERRICK

Middle

Last Name

TAN

Suffix

Business Name

DJERRICK C TAN MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2000

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006