BRUCE A GROOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073849

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

GROOM

Suffix

Business Name

BRUCE A GROOM MD

Original Issue Date

10/01/1986

Effective Date

10/01/1986

Expiration Date

07/31/1993

City

CAPRON

State

Zip

61012

County

BOONE

Ever Disciplined

LastModifiedDate

09/20/2006