MARK I DE BRUIN DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005053

License Status

INACTIVE

Business

First Name

MARK I

Last Name

DE BRUIN

Suffix

Business Name

MARK I DE BRUIN DC

Original Issue Date

01/12/1984

Effective Date

01/12/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/21/2006