BRADFORD A TAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

BRADFORD A

Last Name

TAN

Business Name

BRADFORD A TAN

Original Issue Date

11/19/1993

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023