JOHN RUSSEL LINDSTROM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056812

License Status

NOT RENEWED

Business

First Name

JOHN RUSSEL

Last Name

LINDSTROM

Business Name

JOHN RUSSEL LINDSTROM

Original Issue Date

06/15/1978

Effective Date

06/15/1978

City

APPLETON

State

Zip

54911

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006