DEVONI JORGENSEN BRUNS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

DEVONI

Middle

JORGENSEN

Last Name

BRUNS

Business Name

DEVONI JORGENSEN BRUNS MD

Original Issue Date

03/12/2021

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023