BRUCE C SUMMERVILLE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088414

License Status

ACTIVE

Business

First Name

BRUCE C

Last Name

SUMMERVILLE

Suffix

Business Name

BRUCE C SUMMERVILLE MD

Original Issue Date

05/16/1994

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

07/01/2023