FAN LIXIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000519

License Status

NOT RENEWED

Business

Title

First Name

FAN

Last Name

LIXIN

Business Name

FAN LIXIN MD

Original Issue Date

11/15/2014

Effective Date

11/15/2014

Expiration Date

04/14/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/07/2016