PER KRISTIAN AMUNDSON MD - Medical Doctor License in Indiana | # 036112560

PER KRISTIAN AMUNDSON MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112560

License Status

INACTIVE

Business

N

First Name

PER

Middle

KRISTIAN

Last Name

AMUNDSON

Suffix

MD

Business Name

PER KRISTIAN AMUNDSON MD

Original Issue Date

10/20/2004

Effective Date

05/05/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

04/08/2014