DJERRICK C TAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125461

License Status

ACTIVE

Business

First Name

DJERRICK

Middle

Last Name

TAN

Suffix

Business Name

DJERRICK C TAN MD

Original Issue Date

04/09/2010

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/29/2024