MATTHEW C LUNDIEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032524

License Status

EXPIRED

Business

First Name

MATTHEW C

Last Name

LUNDIEN

Business Name

MATTHEW C LUNDIEN

Original Issue Date

05/11/1995

Effective Date

05/11/1995

Expiration Date

06/25/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006