QIUYING SHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130175

License Status

NOT RENEWED

Business

Title

First Name

QIUYING

Last Name

SHI

Business Name

QIUYING SHI MD

Original Issue Date

04/23/2012

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021