HA SU TIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067319

License Status

NOT RENEWED

Business

First Name

HA SU

Last Name

TIEN

Suffix

Business Name

HA SU TIEN MD

Original Issue Date

08/17/1983

Effective Date

08/17/1983

Expiration Date

07/31/1990

City

TEMPLE TERRACE

State

Zip

33617

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006