LUNDY WADE COLVERT MD - Medical Doctor License in Illinois | # 036114113

LUNDY WADE COLVERT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114113

License Status

NOT RENEWED

Business

N

First Name

LUNDY

Middle

WADE

Last Name

COLVERT

Suffix

MD

Business Name

LUNDY WADE COLVERT MD

Original Issue Date

07/06/2005

Effective Date

06/30/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017