KIAN TJONG SIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045371

License Status

NOT RENEWED

Business

First Name

KIAN TJONG

Last Name

SIE

Suffix

Business Name

KIAN TJONG SIE MD

Original Issue Date

02/04/1972

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008