DAVID A BRUECKNER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045987

License Status

CANCELLED

Business

First Name

DAVID A

Last Name

BRUECKNER

Suffix

Business Name

DAVID A BRUECKNER MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006