WEI PHIN TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065960

License Status

EXPIRED

Business

Title

First Name

WEI

Middle

PHIN

Last Name

TAN

Business Name

WEI PHIN TAN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/25/2018