TONY THIEN TANG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112011

License Status

INACTIVE

Business

First Name

TONY

Middle

THIEN

Last Name

TANG

Suffix

Business Name

TONY THIEN TANG MD

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

07/31/2005

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006