AMANDA MARIE LUND DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046663

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

MARIE

Last Name

LUND

Business Name

AMANDA MARIE LUND DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

HIGHLAND PARK

State

Zip

60035

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006