SIDHARTHA TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

SIDHARTHA

Last Name

TAN

Suffix

Business Name

SIDHARTHA TAN MD

Original Issue Date

08/20/1984

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017