DAWN CHERYL BRUNNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

DAWN

Middle

CHERYL

Last Name

BRUNNER

Business Name

DAWN CHERYL BRUNNER MD

Original Issue Date

06/25/2012

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023