BRANDON SHIN-NIN LU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

BRANDON

Middle

SHIN-NIN

Last Name

Suffix

Business Name

BRANDON SHIN-NIN LU MD

Original Issue Date

02/20/2002

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011