TIEN CHUNG GU DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107169

License Status

INACTIVE

Business

First Name

TIEN

Middle

CHUNG

Last Name

Suffix

Business Name

TIEN CHUNG GU DO

Original Issue Date

06/11/2002

Effective Date

06/11/2002

Expiration Date

07/31/2005

City

MURRIETA

State

Zip

62562

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006