CANDICE ANN ANG TAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

CANDICE

Middle

ANN ANG

Last Name

TAN

Business Name

CANDICE ANN ANG TAN

Original Issue Date

09/22/2020

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025