NELSON WAH KUN LUM MD 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

NELSON WAH KUN

Last Name

LUM

Suffix

Business Name

NELSON WAH KUN LUM MD

Original Issue Date

09/17/1990

Effective Date

09/17/1990

Expiration Date

07/31/1996

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006