LYDIA SU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075883

License Status

CANCELLED

Business

Title

First Name

LYDIA

Last Name

Business Name

LYDIA SU MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2024

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/08/2023