BRUCE B BECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

BRUCE B

Last Name

BECKER

Suffix

Business Name

BRUCE B BECKER MD

Original Issue Date

03/01/1983

Effective Date

03/01/1983

Expiration Date

07/31/1984

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006