DONGHUA XIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060697

License Status

EXPIRED

Business

Title

First Name

DONGHUA

Last Name

XIE

Business Name

DONGHUA XIE MD

Original Issue Date

09/01/2011

Effective Date

09/01/2011

Expiration Date

08/31/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Andrology Fellowship

Ever Disciplined

LastModifiedDate

10/11/2012