ALLEN KENT BRUNKHARDT - Podiatrist License in Illinois | # 016003607

ALLEN KENT BRUNKHARDT

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003607

License Status

NOT RENEWED

Business

N

First Name

ALLEN KENT

Last Name

BRUNKHARDT

Business Name

ALLEN KENT BRUNKHARDT

Original Issue Date

07/22/1983

Effective Date

01/31/2011

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2013