JIASAN FU - Medical Doctor License in Missouri | # 036100870

JIASAN FU

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100870

License Status

INACTIVE

Business

N

First Name

JIASAN

Last Name

FU

Business Name

JIASAN FU

Original Issue Date

08/04/1999

Effective Date

07/28/2008

Expiration Date

07/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

09/19/2008