ANNA BUNPLOOG-LANE MD - Medical Doctor License in Illinois | # 125043201

ANNA BUNPLOOG-LANE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043201

License Status

EXPIRED

Business

N

First Name

ANNA

Last Name

BUNPLOOG-LANE

Suffix

MD

Business Name

ANNA BUNPLOOG-LANE MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006