EDWARD LOUIS BRUNDICK MD - Medical Doctor License in Indiana | # 036050206

EDWARD LOUIS BRUNDICK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050206

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

LOUIS

Last Name

BRUNDICK

Suffix

MD

Business Name

EDWARD LOUIS BRUNDICK MD

Original Issue Date

10/16/1974

Effective Date

10/16/1974

Expiration Date

07/01/1976

State

IN

Ever Disciplined

N

LastModifiedDate

03/26/2010