AMY LIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

LIN

Suffix

Business Name

AMY LIN MD

Original Issue Date

06/09/2008

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

SALT LAKE CITY

State

Zip

84111

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020