XIAOTIAN WANG AUSTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

XIAOTIAN

Middle

WANG

Last Name

AUSTIN

Business Name

XIAOTIAN WANG AUSTIN MD

Original Issue Date

06/17/2009

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023