RENEE K SUNDSTROM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000267

License Status

EXPIRED

Business

First Name

RENEE

Middle

Last Name

SUNDSTROM

Business Name

RENEE K SUNDSTROM

Original Issue Date

01/24/1995

Effective Date

01/24/1995

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006