ALLEN KENT BRUNKHARDT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003607

License Status

NOT RENEWED

Business

First Name

ALLEN KENT

Last Name

BRUNKHARDT

Business Name

ALLEN KENT BRUNKHARDT

Original Issue Date

07/22/1983

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

WATAGA

State

Zip

61488

County

KNOX

Ever Disciplined

LastModifiedDate

03/20/2013