LARRY RAY BRUNZLICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

LARRY

Middle

RAY

Last Name

BRUNZLICK

Business Name

LARRY RAY BRUNZLICK MD

Original Issue Date

02/09/2024

Effective Date

02/09/2024

Expiration Date

07/31/2026

City

CHUCKEY

State

Zip

37641

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2024