License holder summary

JIVIANNE KRISTINE TAN LEE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for JIVIANNE KRISTINE TAN LEE is philadelphia PA 19102. This medical practitioner license is not current. The license was granted 05/07/2004 and expired on 12/31/2006.

Department of State

Board of Medicine

JIVIANNE KRISTINE TAN LEE
Medical Physician And Surgeon
License number
MD424390
Date granted
05/07/2004
Date expires
12/31/2006
Class
Medical Physician And Surgeon
Status
Expired
Address
philadelphia PA 19102
medicinepa.com
ID 37639518
LAST UPDATED 2024-04-06 23:40:32 UTC

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