YIXIN XU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077559

License Status

CANCELLED

Business

Title

First Name

YIXIN

Last Name

Business Name

YIXIN XU DO

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/21/2021