LAURIE B AMUNDSEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021681

License Status

EXPIRED

Business

First Name

LAURIE B

Last Name

AMUNDSEN

Suffix

Business Name

LAURIE B AMUNDSEN MD

Original Issue Date

08/19/1987

Effective Date

08/19/1987

Expiration Date

08/11/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006