XIANGPING REN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

First Name

XIANGPING

Last Name

REN

Suffix

Business Name

XIANGPING REN MD

Original Issue Date

05/08/2003

Effective Date

05/08/2003

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/09/2006