TAN ANTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

TAN

Last Name

ANTON

Suffix

Business Name

TAN ANTON MD

Original Issue Date

11/07/1984

Effective Date

11/07/1984

Expiration Date

07/31/2008

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008