JASON JIA LIU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060911

License Status

CANCELLED

Business

Title

First Name

JASON

Middle

JIA

Last Name

LIU

Business Name

JASON JIA LIU MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014