ROGER ALAN LUNDQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052927

License Status

NOT RENEWED

Business

First Name

ROGER ALAN

Last Name

LUNDQUIST

Suffix

Business Name

ROGER ALAN LUNDQUIST MD

Original Issue Date

07/15/1976

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/17/2014