SERENA YEN SHAN TAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071650

License Status

EXPIRED

Business

First Name

SERENA

Middle

YEN SHAN

Last Name

TAN

Business Name

SERENA YEN SHAN TAN

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Pathology

Ever Disciplined

LastModifiedDate

10/02/2019