ANNA BUNPLOOG-LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110715

License Status

ACTIVE

Business

First Name

ANNA

Last Name

BUNPLOOG-LANE

Suffix

Business Name

ANNA BUNPLOOG-LANE MD

Original Issue Date

01/21/2004

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

Ever Disciplined

LastModifiedDate

04/12/2023