License Directory

Jacob Tiong Go

Expired

California license A55614

License

Licensed by
Medical Board of California
License number
A55614
Status
Expired (Delinquent)
First issued
February 7, 1996
Expired
September 30, 2025
License holder
Jacob Tiong Go
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

45 Celler Ave
New Hyde Park, NY 11040
Nassau County