BRUCE M PAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050125

License Status

NOT RENEWED

Business

First Name

BRUCE M

Last Name

PAVA

Suffix

Business Name

BRUCE M PAVA MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

City

GLEN ELLYN

State

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006