ALLEN KENT BRUNKHARDT Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

ALLEN KENT

Last Name

BRUNKHARDT

Business Name

ALLEN KENT BRUNKHARDT

Original Issue Date

10/24/1983

Effective Date

01/31/2011

Expiration Date

01/31/2013

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013