BRUCE ALLEN MARSHALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102654

License Status

ACTIVE

Business

First Name

BRUCE

Middle

ALLEN

Last Name

MARSHALL

Suffix

Business Name

BRUCE ALLEN MARSHALL MD

Original Issue Date

06/09/2000

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/06/2023