FEDERICO T TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

FEDERICO

Middle

Last Name

TAN

Suffix

Business Name

FEDERICO T TAN MD

Original Issue Date

07/28/1993

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020