JENNIFER L LUNDGREN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

LUNDGREN

Business Name

JENNIFER L LUNDGREN

Original Issue Date

04/23/2003

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023