JUSTIN LI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079148

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Last Name

Business Name

JUSTIN LI DO

Original Issue Date

09/01/2021

Effective Date

09/01/2021

Expiration Date

08/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/18/2021