GUBERT LEE TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088453

License Status

INACTIVE

Business

First Name

GUBERT LEE

Last Name

TAN

Suffix

Business Name

GUBERT LEE TAN MD

Original Issue Date

05/25/1994

Effective Date

10/30/2017

Expiration Date

09/30/2020

City

MANSFIELD

State

Zip

44906

County

OHIO

Ever Disciplined

LastModifiedDate

04/05/2020