MARY QIU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

MARY

Last Name

QIU

Business Name

MARY QIU MD

Original Issue Date

06/19/2019

Effective Date

08/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2023