SUSAN LU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038511

License Status

EXPIRED

Business

First Name

SUSAN

Last Name

Business Name

SUSAN LU

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

City

ST. LOUIS

State

Zip

63108

County

MISSOURI

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006