CARLA JEAN BRUMBAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097190

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

JEAN

Last Name

BRUMBAUGH

Suffix

Business Name

CARLA JEAN BRUMBAUGH MD

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/29/2009