TIE AN POUW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060982

License Status

NOT RENEWED

Business

First Name

TIE AN

Last Name

POUW

Suffix

Business Name

TIE AN POUW MD

Original Issue Date

09/11/1980

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

GOLF

State

Zip

60029

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017