BRIAN P BRUCKNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053254

License Status

ACTIVE

Business

First Name

BRIAN P

Last Name

BRUCKNER

Suffix

Business Name

BRIAN P BRUCKNER MD

Original Issue Date

08/19/1976

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

04/06/2023