KIAN TJONG SIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

KIAN TJONG

Last Name

SIE

Suffix

Business Name

KIAN TJONG SIE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008