CHRISTOPHER TL THAN DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

ACTIVE

N

DO

CHRISTOPHER

TL

THAN

CHRISTOPHER TL THAN DO

09/25/2019

06/03/2023

07/31/2026

PARK RIDGE

IL

60068

COOK

PRACTITIONER

II III IV V

N

06/03/2023