DAVE W LU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050782

License Status

EXPIRED

Business

Title

First Name

DAVE

Middle

Last Name

Business Name

DAVE W LU MD

Original Issue Date

06/19/2009

Effective Date

06/19/2009

Expiration Date

06/18/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/24/2010