MIKAELA B LUM IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000558

License Status

ACTIVE

Business

First Name

MIKAELA

Middle

Last Name

LUM

Business Name

MIKAELA B LUM

Original Issue Date

08/10/2020

Effective Date

11/22/2024

Expiration Date

01/31/2027

City

TUSTIN

State

Zip

92780

Ever Disciplined

LastModifiedDate

11/22/2024