JULIA A BRUCKNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032830

License Status

EXPIRED

Business

First Name

JULIA

Middle

Last Name

BRUCKNER

Business Name

JULIA A BRUCKNER

Original Issue Date

05/30/1995

Effective Date

05/30/1995

Expiration Date

06/18/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006