GRETCHEN L BRUNWORTH - Medical Doctor License in Illinois | # 125024653

GRETCHEN L BRUNWORTH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024653

License Status

EXPIRED

Business

N

First Name

GRETCHEN

Middle

L

Last Name

BRUNWORTH

Business Name

GRETCHEN L BRUNWORTH

Original Issue Date

04/18/1990

Effective Date

04/18/1990

Expiration Date

07/01/1993

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006