TODD F GUNDERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027748

License Status

EXPIRED

Business

First Name

TODD F

Last Name

GUNDERSON

Business Name

TODD F GUNDERSON

Original Issue Date

04/27/1992

Effective Date

04/27/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006