ERIC C BRUNS Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004330

License Status

INACTIVE

Business

First Name

ERIC C

Last Name

BRUNS

Business Name

ERIC C BRUNS

Original Issue Date

06/09/1989

Effective Date

01/31/2013

Expiration Date

01/31/2015

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/07/2014