The holder whose full name is TAN, EVANGELINE CO,come from CHICAGO IL,hold the Physician license(NO.01034964A) which status is Expired Non-Renewable.
| Name | TAN, EVANGELINE CO |
|---|---|
| License Number | 01034964A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | CHICAGO |
| State | IL |