EDWARD CHARLES QIAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072804

License Status

CANCELLED

Business

Title

First Name

EDWARD

Middle

CHARLES

Last Name

QIAN

Business Name

EDWARD CHARLES QIAN DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

05/19/2021