JEANETTE S TAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085092

License Status

INACTIVE

Business

First Name

JEANETTE S

Last Name

TAN

Business Name

JEANETTE S TAN

Original Issue Date

08/05/1992

Effective Date

08/05/1992

Expiration Date

07/31/1993

City

BROADVIEW HEIGHTS

State

Zip

44147

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006