NEHEMIAH T 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

First Name

NEHEMIAH T

Last Name

TAN

Suffix

Business Name

NEHEMIAH T TAN MD

Original Issue Date

08/25/1992

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2025