STACY LUNDGREN MCCLURE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

STACY

Middle

LUNDGREN

Last Name

MCCLURE

Business Name

STACY LUNDGREN MCCLURE MD

Original Issue Date

05/23/2006

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023