LIDE LIU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

LIDE

Last Name

LIU

Business Name

LIDE LIU

Original Issue Date

09/29/2005

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017