DANIEL MILES LUNDBLAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040378

License Status

NOT RENEWED

Business

First Name

DANIEL MILES

Last Name

LUNDBLAD

Suffix

Business Name

DANIEL MILES LUNDBLAD MD

Original Issue Date

05/23/1966

Effective Date

05/23/1966

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

09/20/2006