JIASAN FU Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100870

License Status

INACTIVE

Business

First Name

JIASAN

Last Name

Business Name

JIASAN FU

Original Issue Date

08/04/1999

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/19/2008