QIAN XIE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001718

License Status

INACTIVE

Business

First Name

QIAN

Last Name

XIE

Suffix

DDS

Business Name

QIAN XIE DDS

Original Issue Date

04/21/2009

Effective Date

08/15/2009

Expiration Date

08/14/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

04/20/2009