GRETCHEN L BRUNWORTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024653

License Status

EXPIRED

Business

First Name

GRETCHEN

Middle

Last Name

BRUNWORTH

Business Name

GRETCHEN L BRUNWORTH

Original Issue Date

04/18/1990

Effective Date

04/18/1990

Expiration Date

07/01/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006