LULU AMORNMARN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

LULU

Last Name

AMORNMARN

Suffix

Business Name

LULU AMORNMARN MD

Original Issue Date

10/25/1990

Effective Date

10/25/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020