BRIAN E LUNDEEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

BRIAN E

Last Name

LUNDEEN

Suffix

Business Name

BRIAN E LUNDEEN MD

Original Issue Date

05/19/2009

Effective Date

05/19/2009

Expiration Date

07/31/2011

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020