LOON TZIAN LO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

Title

First Name

LOON TZIAN

Last Name

Business Name

LOON TZIAN LO MD

Original Issue Date

04/30/2014

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63101

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017