JULIE THAO PHYONG LU DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063617

License Status

EXPIRED

Business

First Name

JULIE

Middle

THAO PHYONG

Last Name

Suffix

Business Name

JULIE THAO PHYONG LU DO

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/16/2016