CARL HAROLD LUNDSTROM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040932

License Status

INACTIVE

Business

First Name

CARL HAROLD

Last Name

LUNDSTROM

Suffix

Business Name

CARL HAROLD LUNDSTROM MD

Original Issue Date

02/16/1967

Effective Date

02/16/1967

Expiration Date

07/31/1996

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/20/2006