STEPHEN LEE TAMANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060691

License Status

CANCELLED

Business

Title

First Name

STEPHEN

Middle

LEE

Last Name

TAMANG

Business Name

STEPHEN LEE TAMANG MD

Original Issue Date

07/22/2011

Effective Date

07/22/2011

Expiration Date

07/21/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/22/2011