MELY C TAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061309

License Status

NOT RENEWED

Business

First Name

MELY C

Last Name

TAN

Suffix

Business Name

MELY C TAN MD

Original Issue Date

11/21/1980

Effective Date

11/21/1980

Expiration Date

07/31/1987

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006