KELLY KEH LIH TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049167

License Status

EXPIRED

Business

First Name

KELLY

Middle

KEH LIH

Last Name

TAN

Suffix

Business Name

KELLY KEH LIH TAN MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

LONG GROVE

State

Zip

60047

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008