MARK A LINDSTROM DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082991

License Status

INACTIVE

Business

First Name

MARK A

Last Name

LINDSTROM

Suffix

Business Name

MARK A LINDSTROM DO

Original Issue Date

07/17/1991

Effective Date

07/17/1991

Expiration Date

07/31/1993

City

MEQUON

State

Zip

53092

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006