TIAM H LIE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049175

License Status

INACTIVE

Business

First Name

TIAM H

Last Name

LIE

Suffix

Business Name

TIAM H LIE MD

Original Issue Date

05/03/1974

Effective Date

05/03/1974

Expiration Date

07/31/1999

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

09/20/2006