DANIEL DIEP TRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139644

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

DIEP

Last Name

TRAN

Business Name

DANIEL DIEP TRAN MD

Original Issue Date

01/25/2016

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

INDIANAPOLIS

State

Zip

46278

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021