SHIZHEN JIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068046

License Status

CANCELLED

Business

Title

First Name

SHIZHEN

Last Name

JIA

Business Name

SHIZHEN JIA MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2020

City

BROOKLYN

State

Zip

11236

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/25/2019