The holder whose full name is TAN, BERNARDO ONG,come from Gurnee IL,hold the Physician license(NO.01053149A) which status is Expired Non-Renewable.
| Name | TAN, BERNARDO ONG |
|---|---|
| License Number | 01053149A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Gurnee |
| State | IL |