SAMUEL FREDERICK BRUNK MD - Medical Doctor License in Minnesota | # 036122856

SAMUEL FREDERICK BRUNK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122856

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SAMUEL

Middle

FREDERICK

Last Name

BRUNK

Business Name

SAMUEL FREDERICK BRUNK MD

Original Issue Date

03/17/2009

Effective Date

03/17/2009

Expiration Date

07/31/2011

State

MN

Ever Disciplined

N

LastModifiedDate

11/14/2011