STACY LUNDGREN MCCLURE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116008

License Status

ACTIVE

Business

Title

First Name

STACY

Middle

LUNDGREN

Last Name

MCCLURE

Business Name

STACY LUNDGREN MCCLURE MD

Original Issue Date

05/23/2006

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023