SAMANTHA JOSEPHINE M TAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067417

License Status

EXPIRED

Business

Title

First Name

SAMANTHA JOSEPHINE

Middle

Last Name

TAN

Business Name

SAMANTHA JOSEPHINE M TAN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018