JACOB JAMES BRUGGER MD - Medical Doctor License in Illinois | # 125072795

JACOB JAMES BRUGGER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072795

License Status

CANCELLED

Business

N

Title

MD

First Name

JACOB

Middle

JAMES

Last Name

BRUGGER

Business Name

JACOB JAMES BRUGGER MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

05/14/2018