DONALD CHARLES BURANDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

DONALD CHARLES

Last Name

BURANDT

Suffix

Business Name

DONALD CHARLES BURANDT MD

Original Issue Date

01/22/1997

Effective Date

01/22/1997

Expiration Date

07/31/2002

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006