TAI TANG TRAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

TAI

Middle

TANG

Last Name

TRAN

Suffix

Business Name

TAI TANG TRAN DO

Original Issue Date

08/17/2007

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014