MICHAEL F BRUNNER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055948

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

Last Name

BRUNNER

Business Name

MICHAEL F BRUNNER DO

Original Issue Date

07/07/2011

Effective Date

07/07/2011

Expiration Date

07/06/2014

City

BARTLETT

State

Zip

60103

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/07/2011