JULIA GEYNISMAN-TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

JULIA

Last Name

GEYNISMAN-TAN

Business Name

JULIA GEYNISMAN-TAN MD

Original Issue Date

11/30/2015

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023