KRISTIN L LUNDBLAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

LUNDBLAD

Suffix

Business Name

KRISTIN L LUNDBLAD MD

Original Issue Date

11/27/2001

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023