GREGORIO U TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083360

License Status

INACTIVE

Business

First Name

GREGORIO U

Last Name

TAN

Suffix

Business Name

GREGORIO U TAN MD

Original Issue Date

10/09/1991

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

KALAMAZOO

State

Zip

49048

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/08/2014