License holder summary

Dr. JESSELA TAN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. JESSELA TAN is 3839 MCKINNEY AVE. SUITE 155-735 DALLAS TX 75204. This licensed professional license is not current. The license was granted 04/20/2015 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

Dr. JESSELA TAN
Board Of Medicine
License number
M-12892
Date granted
04/20/2015
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
3839 MCKINNEY AVE. SUITE 155-735 DALLAS TX 75204
idaholicensing.com
ID 48371496
LAST UPDATED 2024-04-05 19:15:30 UTC

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