ANNE LU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006417

License Status

NOT RENEWED

Business

First Name

ANNE

Last Name

Business Name

ANNE LU

Original Issue Date

10/24/2017

Effective Date

01/09/2020

Expiration Date

03/01/2022

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022