WILLIAM HENRY BRUNDIDGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070650

License Status

EXPIRED

Business

Title

First Name

WILLIAM

Middle

HENRY

Last Name

BRUNDIDGE

Business Name

WILLIAM HENRY BRUNDIDGE MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022