IVY HSIEH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079039

License Status

CANCELLED

Business

Title

First Name

IVY

Last Name

HSIEH

Business Name

IVY HSIEH DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/20/2021