YVONNE BRUNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007074

License Status

NOT RENEWED

Business

First Name

YVONNE

Last Name

BRUNER

Business Name

YVONNE BRUNER

Original Issue Date

06/11/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

SAINT PETERSBURG

State

Zip

33709

Ever Disciplined

LastModifiedDate

07/27/2022