PENNY QI FANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064454

License Status

EXPIRED

Business

Title

First Name

PENNY

Middle

Last Name

FANG

Business Name

PENNY QI FANG MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015