MELISSA JIAYU FANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170275

License Status

ACTIVE

Business

Title

First Name

MELISSA

Middle

JIAYU

Last Name

FANG

Business Name

MELISSA JIAYU FANG MD

Original Issue Date

05/14/2024

Effective Date

05/14/2024

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Ever Disciplined

LastModifiedDate

05/14/2024