YU TIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108028

License Status

NOT RENEWED

Business

First Name

Last Name

TIAN

Suffix

Business Name

YU TIAN MD

Original Issue Date

10/16/2002

Effective Date

10/16/2002

Expiration Date

07/31/2005

City

FORT WAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006