QIANFANG REN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045353

License Status

EXPIRED

Business

First Name

QIANFANG

Last Name

REN

Suffix

Business Name

QIANFANG REN MD

Original Issue Date

07/15/2002

Effective Date

07/15/2002

Expiration Date

07/14/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006