CORAL LYNN TIEU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061240

License Status

EXPIRED

Business

First Name

CORAL

Middle

LYNN

Last Name

TIEU

Suffix

Business Name

CORAL LYNN TIEU MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/19/2017