BRUCE S LEPOLSTAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066552

License Status

INACTIVE

Business

First Name

BRUCE S

Last Name

LEPOLSTAT

Suffix

Business Name

BRUCE S LEPOLSTAT MD

Original Issue Date

05/20/1983

Effective Date

05/20/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006