LAUREN B BRUCKNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000564

License Status

EXPIRED

Business

First Name

LAUREN

Middle

Last Name

BRUCKNER

Business Name

LAUREN B BRUCKNER

Original Issue Date

08/01/2002

Effective Date

08/01/2002

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Hematology-Oncology

Ever Disciplined

LastModifiedDate

09/25/2006