TISHA M TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

TISHA

Middle

Last Name

TAN

Business Name

TISHA M TAN MD

Original Issue Date

01/25/2017

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60012

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023