License Directory

Jonathan Bautista Tanawan Md

Inactive

Illinois license 125078767

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
125078767
Status
Inactive (Cancelled)
First issued
July 1, 2021
Expired
June 30, 2024
License holder
Jonathan Bautista Tanawan
Entity type
Individual

Classifications

More from the license record

Specialty
Family Medicine
Current term began
07/01/2021

Other Illinois licenses under this name

  • IL
    Jonathan Bautista Tanawan Md
    License 036170234 · Jonathan Bautista Tanawan
    Licensed Physician and Surgeon (Medical Board)
    Active
    Chicago, IL
    Expires Jul 31, 2029
  • IL
    Jonathan Bautista Tanawan Md
    License 33*****89 · Jonathan Bautista Tanawan
    Licensed Physician Controlled Substance (Medical Board)
    Active
    Chicago, IL
    Expires Jul 31, 2029

Contact

Chicago, IL 60612
Cook County