ANDREA BETH LUNDBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144325

License Status

INACTIVE

Business

Title

First Name

ANDREA

Middle

BETH

Last Name

LUNDBERG

Business Name

ANDREA BETH LUNDBERG MD

Original Issue Date

09/14/2017

Effective Date

09/14/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020