HA SU TIEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

HA SU

Last Name

TIEN

Suffix

Business Name

HA SU TIEN MD

Original Issue Date

11/29/1983

Effective Date

11/29/1983

Expiration Date

07/31/1984

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006