KELLY BRUNGARDT STEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126038

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

BRUNGARDT

Last Name

STEIN

Business Name

KELLY BRUNGARDT STEIN MD

Original Issue Date

06/10/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/13/2023