DEVONI JORGENSEN BRUNS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070936

License Status

CANCELLED

Business

Title

First Name

DEVONI

Middle

JORGENSEN

Last Name

BRUNS

Business Name

DEVONI JORGENSEN BRUNS MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/10/2017