MANDEL BRUCE MILLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012953

License Status

EXPIRED

Business

First Name

MANDEL BRUCE

Last Name

MILLER

Suffix

Business Name

MANDEL BRUCE MILLER MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006