MICHAEL F BRUNNER DO - Medical Doctor License in Illinois | # 125055948

MICHAEL F BRUNNER DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055948

License Status

CANCELLED

Business

N

Title

DO

First Name

MICHAEL

Middle

F

Last Name

BRUNNER

Business Name

MICHAEL F BRUNNER DO

Original Issue Date

07/07/2011

Effective Date

07/07/2011

Expiration Date

07/06/2014

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

07/07/2011