FREDERIC FAN LUO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

FREDERIC

Middle

FAN

Last Name

LUO

Suffix

Business Name

FREDERIC FAN LUO MD

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006