RAYMUNDO TENGKI TAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056233

License Status

INACTIVE

Business

First Name

RAYMUNDO TENGKI

Last Name

TAN

Suffix

Business Name

RAYMUNDO TENGKI TAN MD

Original Issue Date

12/16/1977

Effective Date

12/16/1977

Expiration Date

07/31/1987

City

ABERDEEN

State

Zip

57401

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

09/20/2006