LYNN VAN UMMERSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

LYNN

Last Name

VAN UMMERSEN

Suffix

Business Name

LYNN VAN UMMERSEN MD

Original Issue Date

03/16/1999

Effective Date

03/16/1999

Expiration Date

07/31/2002

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006