HERALD A BRUNDAGE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115020

License Status

INACTIVE

Business

First Name

HERALD

Middle

Last Name

BRUNDAGE

Suffix

Business Name

HERALD A BRUNDAGE MD

Original Issue Date

12/19/2005

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

GLENDALE

State

Zip

91207

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014