TIAN RAN ZHANG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068652

License Status

CANCELLED

Business

Title

First Name

TIAN

Middle

RAN

Last Name

ZHANG

Business Name

TIAN RAN ZHANG MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Vascular Surgery

Ever Disciplined

LastModifiedDate

02/07/2019