SCOTT BENJAMIN LUNDGREN DO - Medical Doctor License in Wisconsin | # 036099964

SCOTT BENJAMIN LUNDGREN DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099964

License Status

NOT RENEWED

Business

N

First Name

SCOTT

Middle

BENJAMIN

Last Name

LUNDGREN

Suffix

DO

Business Name

SCOTT BENJAMIN LUNDGREN DO

Original Issue Date

04/02/1999

Effective Date

04/02/1999

Expiration Date

07/31/2002

State

WI

Ever Disciplined

N

LastModifiedDate

04/07/2026