LEON TAN QUE JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044692

License Status

EXPIRED

Business

First Name

LEON

Middle

TAN

Last Name

QUE

Suffix

JR MD

Business Name

LEON TAN QUE JR MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2003

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006