TJIEN BO JAP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045234

License Status

INACTIVE

Business

First Name

TJIEN BO

Last Name

JAP

Suffix

Business Name

TJIEN BO JAP MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1996

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006