DAVID RICHARD LUELLWITZ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040140

License Status

EXPIRED

Business

First Name

DAVID

Middle

RICHARD

Last Name

LUELLWITZ

Suffix

Business Name

DAVID RICHARD LUELLWITZ DO

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006