ATTICUS LUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

ATTICUS

Last Name

LUM

Business Name

ATTICUS LUM

Original Issue Date

05/24/2021

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025