SAMANTHA FAN LU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071572

License Status

CANCELLED

Business

Title

First Name

SAMANTHA

Middle

FAN

Last Name

Business Name

SAMANTHA FAN LU MD

Original Issue Date

09/18/2020

Effective Date

09/18/2020

Expiration Date

09/17/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrical Anesthesia

Ever Disciplined

LastModifiedDate

05/18/2020