AI-YUI MARIA TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

Title

First Name

AI-YUI

Middle

MARIA

Last Name

TAN

Business Name

AI-YUI MARIA TAN MD

Original Issue Date

07/28/2016

Effective Date

06/29/2020

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023