ALEX R TAN OD

Business Entity
ACTIVE

Optometrist

OPTOMETRIST CONTROLLED SUBSTANCE

34*****50

ACTIVE

N

ALEX

R

TAN

OD

ALEX R TAN OD

08/11/1999

01/08/2026

03/31/2028

OAK PARK

IL

60302

COOK

Practitioner

III IV V

N

01/08/2026