TRACY MICHELE LUNDBERG MD - Medical Doctor License in Wisconsin | # 188000532

TRACY MICHELE LUNDBERG MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000532

License Status

EXPIRED

Business

N

Title

MD

First Name

TRACY

Middle

MICHELE

Last Name

LUNDBERG

Business Name

TRACY MICHELE LUNDBERG MD

Original Issue Date

10/29/2012

Effective Date

10/29/2012

Expiration Date

04/28/2013

State

WI

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

05/15/2013