KERSTI M BRUINING - Medical Doctor License in Illinois | # 125020294

KERSTI M BRUINING

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020294

License Status

EXPIRED

Business

N

First Name

KERSTI

Middle

M

Last Name

BRUINING

Business Name

KERSTI M BRUINING

Original Issue Date

09/04/1986

Effective Date

09/04/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

N

LastModifiedDate

09/22/2006