JUSTYN ALBERT LUTFY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066416

License Status

EXPIRED

Business

Title

First Name

JUSTYN

Middle

ALBERT

Last Name

LUTFY

Business Name

JUSTYN ALBERT LUTFY MD

Original Issue Date

07/06/2015

Effective Date

07/06/2015

Expiration Date

07/05/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

08/16/2016