JOSEPH ROBERT BRUCKNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053535

License Status

NOT RENEWED

Business

First Name

JOSEPH ROBERT

Last Name

BRUCKNER

Suffix

Business Name

JOSEPH ROBERT BRUCKNER MD

Original Issue Date

09/07/1976

Effective Date

06/30/2011

Expiration Date

07/31/2014

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014