DAVID BRUNWORTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

BRUNWORTH

Suffix

Business Name

DAVID BRUNWORTH MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

BYRON

State

Zip

61010

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006