TIAN XIA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038412

License Status

EXPIRED

Business

First Name

TIAN

Last Name

XIA

Suffix

Business Name

TIAN XIA DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006