KRISTEN LU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074993

License Status

CANCELLED

Business

Title

First Name

KRISTEN

Last Name

Business Name

KRISTEN LU MD

Original Issue Date

06/26/2022

Effective Date

06/26/2022

Expiration Date

06/25/2024

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

04/04/2022