HENRY R LUA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****73

NOT RENEWED

N

HENRY

R

LUA

MD

HENRY R LUA MD

01/20/2000

01/20/2000

07/31/2002

SPRINGFIELD

IL

62703

SANGAMON

II III IV V

N

10/09/2006