DAN TONG JIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073945

License Status

CANCELLED

Business

Title

First Name

DAN TONG

Last Name

JIA

Business Name

DAN TONG JIA MD

Original Issue Date

07/29/2022

Effective Date

07/29/2022

Expiration Date

07/28/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

02/14/2022