ROBERT WILLIAM BRUNNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041070

License Status

NOT RENEWED

Business

First Name

ROBERT WILLIAM

Last Name

BRUNNER

Suffix

Business Name

ROBERT WILLIAM BRUNNER MD

Original Issue Date

07/01/1967

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021