ERICA B LUNDSTEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

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

07/31/2008

Expiration Date

03/01/2010

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2010