HANNAH-NGOC TIEU HA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

HANNAH-NGOC

Middle

TIEU

Last Name

Suffix

Business Name

HANNAH-NGOC TIEU HA MD

Original Issue Date

01/02/2002

Effective Date

01/02/2002

Expiration Date

07/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006