TIAN XIA DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****46

ACTIVE

N

TIAN

XIA

DO

TIAN XIA DO

06/18/2012

04/14/2023

07/31/2026

ELMWOOD PARK

IL

60707

COOK

II III IV V

N

04/14/2023