ROGER A TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ROGER A

Last Name

TAN

Suffix

Business Name

ROGER A TAN MD

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

07/31/1999

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006