LAURENCE M JIANG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

MD

LAURENCE

M

JIANG

LAURENCE M JIANG MD

08/31/2016

07/27/2017

09/30/2020

PEORIA

IL

61637

PEORIA

PRACTITIONER

II III IV V

N

01/14/2021