JENNIFER L LUNDGREN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041513

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

LUNDGREN

Business Name

JENNIFER L LUNDGREN

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006