TIAN XIA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

TIAN

Last Name

XIA

Suffix

Business Name

TIAN XIA DO

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

07/31/2026

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026