TIEN C KO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019838

License Status

EXPIRED

Business

First Name

TIEN C

Last Name

Suffix

Business Name

TIEN C KO MD

Original Issue Date

06/26/1986

Effective Date

06/26/1986

Expiration Date

07/01/1989

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006