LE THU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

Last Name

THU

Suffix

Business Name

LE THU MD

Original Issue Date

01/22/2013

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BOSTON

State

Zip

02114

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021