BRUCE J MONTELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094224

License Status

ACTIVE

Business

First Name

BRUCE J

Last Name

MONTELLA

Suffix

Business Name

BRUCE J MONTELLA MD

Original Issue Date

09/17/1996

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2023