BRUCE ALLEN LOCKWOOD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134267

License Status

ACTIVE

Business

Title

First Name

BRUCE

Middle

ALLEN

Last Name

LOCKWOOD

Business Name

BRUCE ALLEN LOCKWOOD MD

Original Issue Date

12/04/2013

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

TIMNATH

State

Zip

80547

Ever Disciplined

LastModifiedDate

04/14/2023