WILLIE C BRUCE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024497

License Status

EXPIRED

Business

First Name

WILLIE C

Last Name

BRUCE

Suffix

Business Name

WILLIE C BRUCE DO

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

06/23/1992

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006