TRACY MICHELE LUNDBERG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000532

License Status

EXPIRED

Business

Title

First Name

TRACY

Middle

MICHELE

Last Name

LUNDBERG

Business Name

TRACY MICHELE LUNDBERG MD

Original Issue Date

10/29/2012

Effective Date

10/29/2012

Expiration Date

04/28/2013

City

JUNCTION CITY

State

Zip

54443

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/15/2013