LAURENCE M JIANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141620

License Status

INACTIVE

Business

Title

First Name

LAURENCE

Middle

Last Name

JIANG

Business Name

LAURENCE M JIANG MD

Original Issue Date

08/31/2016

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

04/05/2020