RICHARD THOMAS GRUNERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

THOMAS

Last Name

GRUNERT

Business Name

RICHARD THOMAS GRUNERT MD

Original Issue Date

08/13/2013

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

BURLINGTON

State

Zip

05408

County

VERMONT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017