JACOB JAMES BRUGGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154930

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

JAMES

Last Name

BRUGGER

Business Name

JACOB JAMES BRUGGER MD

Original Issue Date

12/03/2020

Effective Date

12/03/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61605

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/30/2023