ENRICO TAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004392

License Status

NOT RENEWED

Business

First Name

ENRICO

Last Name

TAN

Business Name

ENRICO TAN

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

01/31/1993

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

09/25/2006