License holder summary

JAO SUPERIO TAN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for JAO SUPERIO TAN is SMITHTOWN NY. This doctor license is current. The license was granted 12/23/1987 and expired on 08/31/2016.

New York

Office of the Professions

JAO SUPERIO TAN
Medicine (Physician, Including M Ds & D Os)
License number
173312
Date granted
12/23/1987
Date expires
08/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
SMITHTOWN NY
nymedicine.org
ID 30176885
LAST UPDATED 2024-04-30 07:00:05 UTC

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