MARK LEROY LUNDINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059144

License Status

ACTIVE

Business

First Name

MARK LEROY

Last Name

LUNDINE

Suffix

Business Name

MARK LEROY LUNDINE MD

Original Issue Date

08/20/1979

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/08/2023