ANJALI TANNAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057612

License Status

CANCELLED

Business

Title

First Name

ANJALI

Last Name

TANNAN

Business Name

ANJALI TANNAN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

06/02/2011