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Licensing details for: PTL 8231

Name: Lund, Matthew Alexander

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: Loma Linda University School of Medicine

Graduation Year: 2021

Previous Names: Lund, Matthew

Current Enrolled Postgraduate Training Program

Facility Name: LOMA LINDA UNIVERSITY HEALTH EDUCATION CONSORTIUM PROGRAM

City: Loma Linda

State: California

Speciality: Transitional Year

Start Date: 06/30/2021

Anticipated End Date: 06/30/2022

Address of Record

24414 University Ave Spc 49
LOMA LINDA CA 92354-2651
SAN BERNARDINO county
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Issuance Date

November 29, 2021

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:52:25 PM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Lund, Matthew Alexander

License/Registration Type: Physician's and Surgeon's

License Number: 190210 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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