TIAN XIA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

ACTIVE

N

TIAN

XIA

DO

TIAN XIA DO

05/30/2024

05/30/2024

07/31/2026

CHICAGO

IL

60647

COOK

PRACTITIONER

II III IV V

N

02/24/2026