LAURIE B AMUNDSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

LAURIE B

Last Name

AMUNDSEN

Suffix

Business Name

LAURIE B AMUNDSEN MD

Original Issue Date

08/01/1991

Effective Date

08/01/1991

Expiration Date

07/31/1999

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006