BRUCE P FRANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

Last Name

FRANK

Suffix

Business Name

BRUCE P FRANK MD

Original Issue Date

06/20/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011