JEFFERSON TIU LOA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126281

License Status

NOT RENEWED

Business

Title

First Name

JEFFERSON

Middle

TIU

Last Name

LOA

Business Name

JEFFERSON TIU LOA MD

Original Issue Date

07/19/2010

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

65809

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017