ALFREDO MERCADO TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037799

License Status

INACTIVE

Business

First Name

ALFREDO MERCADO

Last Name

TAN

Suffix

Business Name

ALFREDO MERCADO TAN MD

Original Issue Date

06/15/1962

Effective Date

06/15/1962

Expiration Date

07/31/1987

City

PARMA

State

Zip

44134

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006