JUSTIN MARK LUNDERBERG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072464

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

MARK

Last Name

LUNDERBERG

Business Name

JUSTIN MARK LUNDERBERG

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022