JASON JOHN TANGUAY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049234

License Status

EXPIRED

Business

First Name

JASON

Middle

JOHN

Last Name

TANGUAY

Suffix

Business Name

JASON JOHN TANGUAY DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/30/2008

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/31/2008