BENNETT Y F LUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

BENNETT Y F

Last Name

LUM

Suffix

Business Name

BENNETT Y F LUM MD

Original Issue Date

04/19/1996

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/10/2023