EMJAY MENG-JIAO TAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

EMJAY

Middle

MENG-JIAO

Last Name

TAN

Business Name

EMJAY MENG-JIAO TAN

Original Issue Date

01/10/2006

Effective Date

01/10/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008