BENJAMIN TAN GO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

TAN

Last Name

Suffix

Business Name

BENJAMIN TAN GO MD

Original Issue Date

12/07/1999

Effective Date

12/07/1999

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020