DAVID JONATHAN TAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

DAVID

Middle

JONATHAN

Last Name

TAN

Business Name

DAVID JONATHAN TAN

Original Issue Date

08/18/2011

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

HINES

State

Zip

60141

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025