SERENA S WU Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

SERENA

Middle

Last Name

Business Name

SERENA S WU

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008