LARRY RAY BRUNZLICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168466

License Status

ACTIVE

Business

Title

First Name

LARRY

Middle

RAY

Last Name

BRUNZLICK

Business Name

LARRY RAY BRUNZLICK MD

Original Issue Date

01/29/2024

Effective Date

01/29/2024

Expiration Date

07/31/2026

City

BRYANT

State

Zip

54418

Ever Disciplined

LastModifiedDate

01/29/2024