LYLE E LUNDBLAD DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074748

License Status

INACTIVE

Business

First Name

LYLE E

Last Name

LUNDBLAD

Suffix

Business Name

LYLE E LUNDBLAD DO

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

07/31/1993

City

MINNEAPOLIS

State

Zip

55405

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/24/2013

Case Number

2013007179

Action

Refuse To Renew

Discipline Start Date

10/11/2013

Discipline Reason

after being disciplined by the state of Minnesota.