BENNETT Y F LUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023717

License Status

EXPIRED

Business

First Name

BENNETT Y F

Last Name

LUM

Suffix

Business Name

BENNETT Y F LUM MD

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006