EDWARD H BRUNNGRABER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

EDWARD H

Last Name

BRUNNGRABER

Suffix

Business Name

EDWARD H BRUNNGRABER MD

Original Issue Date

09/22/1992

Effective Date

09/22/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006