QIAO FANG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033057

License Status

ACTIVE

Business

First Name

QIAO

Last Name

FANG

Business Name

QIAO FANG

Original Issue Date

05/11/2021

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

05/08/2024