EDWARD H BRUNNGRABER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025864

License Status

EXPIRED

Business

First Name

EDWARD H

Last Name

BRUNNGRABER

Suffix

Business Name

EDWARD H BRUNNGRABER MD

Original Issue Date

07/10/1990

Effective Date

07/10/1990

Expiration Date

07/09/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006