HENRY TAN PIMENTEL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****88

NOT RENEWED

N

HENRY TAN

PIMENTEL

MD

HENRY TAN PIMENTEL MD

01/01/1997

06/05/2017

09/30/2020

CHICAGO

IL

60621

COOK

II III IV V

N

01/14/2021