TRACY MICHELE LUNDBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065370

License Status

CANCELLED

Business

Title

First Name

TRACY

Middle

MICHELE

Last Name

LUNDBERG

Business Name

TRACY MICHELE LUNDBERG MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Breast Pathology

Ever Disciplined

LastModifiedDate

06/16/2014