WILLIAM LEROY BUNTAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131963

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

LEROY

Last Name

BUNTAIN

Business Name

WILLIAM LEROY BUNTAIN MD

Original Issue Date

01/25/2013

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

ALBUQUERQUE

State

Zip

87122

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017