H JAY BRUNINGA OD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018833

License Status

EXPIRED

Business

First Name

H JAY

Last Name

BRUNINGA

Suffix

OD MD

Business Name

H JAY BRUNINGA OD MD

Original Issue Date

07/09/1985

Effective Date

07/09/1985

Expiration Date

07/01/1988

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006