DANIELLE TUCK WAI LUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

DANIELLE TUCK WAI

Last Name

LUM

Suffix

Business Name

DANIELLE TUCK WAI LUM MD

Original Issue Date

10/06/1982

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021