MICHAEL T SUNDERBRUCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134093

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

SUNDERBRUCH

Business Name

MICHAEL T SUNDERBRUCH MD

Original Issue Date

10/22/2013

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52801

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021