TIMOTHY LEE BRIDGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

CANCELLED

Business

First Name

TIMOTHY LEE

Last Name

BRIDGE

Suffix

Business Name

TIMOTHY LEE BRIDGE MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SAN FRANCISCO

State

Zip

94103

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006