TIMOTHY P LUND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065869

License Status

NOT RENEWED

Business

First Name

TIMOTHY P

Last Name

LUND

Suffix

Business Name

TIMOTHY P LUND MD

Original Issue Date

12/22/1982

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GOSHEN

State

Zip

46526

Ever Disciplined

LastModifiedDate

11/06/2008