JAMES B BRUNNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

BRUNNER

Suffix

Business Name

JAMES B BRUNNER MD

Original Issue Date

02/07/1986

Effective Date

02/07/1986

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020