HOLLY LYNN GUNDERSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

HOLLY LYNN

Last Name

GUNDERSON

Business Name

HOLLY LYNN GUNDERSON

Original Issue Date

04/12/1982

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017