JANE JIE AN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137190

License Status

NOT RENEWED

Business

Title

First Name

JANE

Middle

JIE

Last Name

Business Name

JANE JIE AN MD

Original Issue Date

01/30/2015

Effective Date

01/30/2015

Expiration Date

07/31/2017

City

ENFIELD

State

Zip

06082

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/01/2017