DAVID R BRUAH MD - Medical Doctor License in Illinois | # 125012952

DAVID R BRUAH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012952

License Status

EXPIRED

Business

N

First Name

DAVID R

Last Name

BRUAH

Suffix

MD

Business Name

DAVID R BRUAH MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006