BRUCE A FELDMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075811

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

FELDMAN

Suffix

Business Name

BRUCE A FELDMAN MD

Original Issue Date

09/01/1987

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008