CHARLES B BRUYNTJENS JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018846

License Status

EXPIRED

Business

First Name

CHARLES

Middle

Last Name

BRUYNTJENS

Suffix

JR MD

Business Name

CHARLES B BRUYNTJENS JR MD

Original Issue Date

07/09/1985

Effective Date

07/09/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006