ERICA B LUNDSTEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003256

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

LUNDSTEN

Business Name

ERICA B LUNDSTEN

Original Issue Date

07/31/2008

Effective Date

05/31/2012

Expiration Date

03/01/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014