SHIZHEN JIA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

MD

SHIZHEN

JIA

SHIZHEN JIA MD

04/02/2020

04/02/2020

07/31/2023

SPRINGFIELD

IL

62701

SANGAMON

PRACTITIONER

II III IV V

N

11/30/2023