ANDREW LAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073093

License Status

CANCELLED

Business

Title

First Name

ANDREW

Last Name

LAI

Business Name

ANDREW LAI MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

05/25/2019