EMJAY MENG-JIAO TAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043997

License Status

CANCELLED

Business

First Name

EMJAY

Middle

MENG-JIAO

Last Name

TAN

Business Name

EMJAY MENG-JIAO TAN

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006