CARLA JEAN BRUMBAUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

JEAN

Last Name

BRUMBAUGH

Suffix

Business Name

CARLA JEAN BRUMBAUGH MD

Original Issue Date

01/20/1998

Effective Date

01/20/1998

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006