HIEDILIZA YAMZON TAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

CANCELLED

Business

Title

First Name

HIEDILIZA

Middle

YAMZON

Last Name

TAN

Business Name

HIEDILIZA YAMZON TAN MD

Original Issue Date

06/01/2000

Effective Date

06/01/2000

Expiration Date

07/31/2002

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020