CAROL ANN C TAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

CAROL ANN

Middle

Last Name

TAN

Business Name

CAROL ANN C TAN

Original Issue Date

10/15/2003

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020