CAROLYN MARIE BRUNNER - Physician Assistant License in Missouri | # 085003859

CAROLYN MARIE BRUNNER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003859

License Status

NOT RENEWED

Business

N

First Name

CAROLYN

Middle

MARIE

Last Name

BRUNNER

Business Name

CAROLYN MARIE BRUNNER

Original Issue Date

09/14/2010

Effective Date

02/25/2014

Expiration Date

03/01/2016

State

MO

Ever Disciplined

N

LastModifiedDate

04/25/2016