BENJAMIN R TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101630

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

TAN

Suffix

Business Name

BENJAMIN R TAN MD

Original Issue Date

11/18/1999

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/11/2023