TAI TANG TRAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119213

License Status

NOT RENEWED

Business

First Name

TAI

Middle

TANG

Last Name

TRAN

Suffix

Business Name

TAI TANG TRAN DO

Original Issue Date

08/17/2007

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

LONGMEADOW

State

Zip

01106

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014