JEANETTE S TAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JEANETTE S

Last Name

TAN

Business Name

JEANETTE S TAN

Original Issue Date

08/24/1992

Effective Date

08/24/1992

Expiration Date

07/31/1993

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006