BRUCE DUANE FICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040370

License Status

NOT RENEWED

Business

First Name

BRUCE DUANE

Last Name

FICK

Suffix

Business Name

BRUCE DUANE FICK MD

Original Issue Date

05/23/1966

Effective Date

04/21/2011

Expiration Date

07/31/2014

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014