JONATHAN N BRUEGGEMAN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

BRUEGGEMAN

Business Name

JONATHAN N BRUEGGEMAN

Original Issue Date

02/15/2007

Effective Date

02/15/2007

Expiration Date

01/31/2009

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009