SHOH KAI TAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****30

NOT RENEWED

N

SHOH KAI

TAN

MD

SHOH KAI TAN MD

04/20/1983

04/20/1983

07/31/2002

CHICAGO

IL

60640

COOK

II III IV V

N

10/09/2006