TIMOTHY LEONOR TAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064426

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

LEONOR

Last Name

TAN

Business Name

TIMOTHY LEONOR TAN DO

Original Issue Date

06/22/2017

Effective Date

06/22/2017

Expiration Date

06/21/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

01/25/2017