JACK JIAKUN TIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169703

License Status

ACTIVE

Business

Title

First Name

JACK

Middle

JIAKUN

Last Name

TIAN

Business Name

JACK JIAKUN TIAN MD

Original Issue Date

04/06/2024

Effective Date

04/06/2024

Expiration Date

07/31/2026

City

BAINBRIDGE ISLAND

State

Zip

98110

Ever Disciplined

LastModifiedDate

04/06/2024