QIANQIAN XU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149072

License Status

ACTIVE

Business

Title

First Name

QIANQIAN

Last Name

Business Name

QIANQIAN XU MD

Original Issue Date

04/16/2019

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

WILLIAMSPORT

State

Zip

17701

Ever Disciplined

LastModifiedDate

06/16/2023