CHARLES B BRUYNTJENS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073345

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

BRUYNTJENS

Suffix

JR MD

Business Name

CHARLES B BRUYNTJENS JR MD

Original Issue Date

07/30/1986

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

01/14/2021