KYLE LOUIS BRUNS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062948

License Status

CANCELLED

Business

Title

First Name

KYLE

Middle

LOUIS

Last Name

BRUNS

Business Name

KYLE LOUIS BRUNS DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

JEFFERSON CITY

State

Zip

65109

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014