BRANDON SHIN-NIN LU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039160

License Status

CANCELLED

Business

First Name

BRANDON

Middle

SHIN-NIN

Last Name

Suffix

Business Name

BRANDON SHIN-NIN LU MD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006