PER KRISTIAN AMUNDSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112560

License Status

INACTIVE

Business

First Name

PER

Middle

KRISTIAN

Last Name

AMUNDSON

Suffix

Business Name

PER KRISTIAN AMUNDSON MD

Original Issue Date

10/20/2004

Effective Date

05/05/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

47401

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014