License holder summary

Xiao Fang is a Physician licensed to practice in Indiana. The address on file for Xiao Fang is Syracuse NY 13224. This licensed professional license is not current. The license was granted 09/26/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Xiao Fang
Physician
License number
01055055A
Date granted
09/26/2001
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Syracuse NY 13224
indianalicensing.org
ID 6103745
LAST UPDATED 2024-02-21 03:46:45 UTC

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