ATTICUS LUM - Physician Assistant License in Illinois | # 085008295

ATTICUS LUM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008295

License Status

NOT RENEWED

Business

N

First Name

ATTICUS

Last Name

LUM

Business Name

ATTICUS LUM

Original Issue Date

05/05/2021

Effective Date

01/07/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025