XIA WANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

XIA

Last Name

WANG

Business Name

XIA WANG MD

Original Issue Date

08/05/2014

Effective Date

08/05/2014

Expiration Date

07/31/2017

City

NORTHVILLE

State

Zip

48168

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017