MERITA R C TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

MERITA R C

Last Name

TAN

Suffix

Business Name

MERITA R C TAN MD

Original Issue Date

11/15/1993

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023