MARY ELIZABETH LUNDGREN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146894

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

LUNDGREN

Business Name

MARY ELIZABETH LUNDGREN DO

Original Issue Date

07/12/2018

Effective Date

07/12/2018

Expiration Date

09/30/2020

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021