STACY LUNDGREN MCCLURE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040694

License Status

EXPIRED

Business

Title

First Name

STACY

Middle

LUNDGREN

Last Name

MCCLURE

Business Name

STACY LUNDGREN MCCLURE MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006