BRUCE WILLIAM MADSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039228

License Status

CANCELLED

Business

First Name

BRUCE

Middle

WILLIAM

Last Name

MADSEN

Suffix

Business Name

BRUCE WILLIAM MADSEN MD

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2000

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006