BRUCE C SUMMERVILLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025017

License Status

EXPIRED

Business

First Name

BRUCE C

Last Name

SUMMERVILLE

Suffix

Business Name

BRUCE C SUMMERVILLE MD

Original Issue Date

05/24/1990

Effective Date

05/24/1990

Expiration Date

06/19/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006