CHRISTOPHER LARS JOHNSRUDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093970

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER LARS

Last Name

JOHNSRUDE

Suffix

Business Name

CHRISTOPHER LARS JOHNSRUDE MD

Original Issue Date

08/13/1996

Effective Date

08/13/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006