BRUCE PHILIP HIMELSTEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129249

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

PHILIP

Last Name

HIMELSTEIN

Business Name

BRUCE PHILIP HIMELSTEIN MD

Original Issue Date

11/17/2011

Effective Date

11/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021