SUSAN M BRUGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BRUGMAN

Suffix

Business Name

SUSAN M BRUGMAN MD

Original Issue Date

07/11/1985

Effective Date

07/11/1985

Expiration Date

07/31/1987

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006