FANGHUA LOU MD

Business Entity
ACTIVE

Medical Doctor

TEMPORARY MEDICAL PERMIT

125082982

ACTIVE

N

MD

FANGHUA

LOU

FANGHUA LOU MD

07/01/2023

07/01/2023

06/30/2026

O FALLON

IL

62269

SAINT CLAIR

Family Medicine

N

06/29/2023