JOSEPH ALBERT BRUNKHORST III DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014