LULU SIM TSAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

LULU

Middle

SIM

Last Name

TSAI

Suffix

Business Name

LULU SIM TSAI MD

Original Issue Date

08/28/2003

Effective Date

08/28/2003

Expiration Date

07/31/2005

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006