ROGER ALAN LUNDQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

ROGER ALAN

Last Name

LUNDQUIST

Suffix

Business Name

ROGER ALAN LUNDQUIST MD

Original Issue Date

01/01/1997

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014