JOSEPH ALBERT BRUNKHORST III DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132920

License Status

NOT RENEWED

Business

Title

First Name

JOSEPH

Middle

ALBERT

Last Name

BRUNKHORST

Suffix

III

Business Name

JOSEPH ALBERT BRUNKHORST III DO

Original Issue Date

05/13/2013

Effective Date

05/13/2013

Expiration Date

07/31/2014

City

LEXINGTON

State

Zip

40515

Ever Disciplined

LastModifiedDate

11/17/2014