DJERRICK C TAN MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****91

ACTIVE

N

DJERRICK

C

TAN

MD

DJERRICK C TAN MD

05/02/2023

05/02/2023

07/31/2026

EVANSTON

IL

60202

COOK

PRACTITIONER

II III IV V

N

04/17/2023