H JAY BRUNINGA OD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073892

License Status

ACTIVE

Business

First Name

H JAY

Last Name

BRUNINGA

Suffix

OD MD

Business Name

H JAY BRUNINGA OD MD

Original Issue Date

10/03/1986

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

07/11/2023