SHIZHEN JIA MD - Medical Doctor License in New York | # 125068046

SHIZHEN JIA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068046

License Status

CANCELLED

Business

N

Title

MD

First Name

SHIZHEN

Last Name

JIA

Business Name

SHIZHEN JIA MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2020

State

NY

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

03/25/2019