EDWARD ALBERT BRUNNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040147

License Status

NOT RENEWED

Business

First Name

EDWARD ALBERT

Last Name

BRUNNER

Suffix

Business Name

EDWARD ALBERT BRUNNER MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

Expiration Date

07/31/2002

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006