ERIC C BRUNS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

ERIC C

Last Name

BRUNS

Business Name

ERIC C BRUNS

Original Issue Date

06/22/1989

Effective Date

01/31/2013

Expiration Date

01/31/2015

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015