MARY ELIZABETH LUNDGREN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065093

License Status

CANCELLED

Business

Title

First Name

MARY

Middle

ELIZABETH

Last Name

LUNDGREN

Business Name

MARY ELIZABETH LUNDGREN DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

05/19/2017